Organization Active NPI

Corrina Skildum, PLLC

  • Adult Mental Health Clinic/Center
  • Seattle, WA
National Provider Identifier
1972326841
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CORRINA SKILDUM, PLLC
Practice address
10342 Ravenna Ave NE
Seattle, WA 98125-7744
Phone
(206) 450-3741
NPI assigned
Nov 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Corrina Skildum, MA, LMHCNPI 1346589926
Title
Owner, Mental Health Counselor
Phone
(206) 450-3741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

10342 Ravenna Ave NE
Seattle, WA 98125-7744

Mailing address

10342 Ravenna Ave NE
Seattle, WA 98125-7744
Phone (206) 450-3741

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1972326841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10342 RAVENNA AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257744",
            "telephone_number": "206-450-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10342 RAVENNA AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257744",
            "telephone_number": "206-450-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRINA SKILDUM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "SKILDUM",
        "authorized_official_first_name": "CORRINA",
        "authorized_official_title_or_position": "OWNER, MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "206-450-3741",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.