Caitlin Virginia Skeens, LPC, PMH-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-18776 Issued in AZ

Practice address

25932 N Sandstone Way
Surprise, AZ 85387-6837

Phone

(602) 620-7952

Fax

(480) 323-2037

NPI assigned

Apr 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1982022463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25932 N SANDSTONE WAY",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853876837",
            "telephone_number": "602-620-7952",
            "fax_number": "480-323-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25932 N SANDSTONE WAY",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853876837",
            "telephone_number": "602-620-7952",
            "fax_number": "480-323-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEENS",
        "first_name": "CAITLIN",
        "middle_name": "VIRGINIA",
        "credential": "LPC, PMH-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60446973",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60452759",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "AZ",
            "license": "05.15.2021",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-18776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.