Individual provider Active NPI

Linda K Skinner, MA

  • Marriage & Family Therapist
  • Puyallup, WA
National Provider Identifier
1982745709
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00002625 Issued in WA
Practice address
2223 S Meridian
Puyallup, WA 98371-7503
Phone
(253) 948-6497
Fax
(253) 286-7540
NPI assigned
Feb 12, 2007
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF00002625 WA Primary

Addresses

Primary practice location

2223 S Meridian
Puyallup, WA 98371-7503

Mailing address

2223 S Meridian
Puyallup, WA 98371-7503
Phone (253) 948-6497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126003387 WA Practitioner - Marriage and Family Therapist 0446785687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathway to Change Counseling ServicesGroup PAC ID 9537694773, 2 clinicians

Practice addresses (Care Compare)

2223 S Meridian
Puyallup, WA 98371-7503
Phone (253) 948-6497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway to Change Counseling Services CurrentSince Oct 16, 2024 Accepting new patients

Locations

2223 S Meridian
Puyallup, WA 98371
Phone (253) 355-2467

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1982745709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717503",
            "telephone_number": "253-948-6497",
            "fax_number": "253-286-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717503",
            "telephone_number": "253-948-6497",
            "fax_number": "253-286-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "LINDA",
        "middle_name": "K",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00002625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.