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DR. BARBARA SKODJE-MACK EDD LMFT LPCC NPI 1609933498


NPI Information

NPI: 1609933498
Provider Name: DR. BARBARA SKODJE-MACK, EDD, LMFT, LPCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1900 CENTRACARE CIR STE 1000
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 229-5199
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DR. Barbara Skodje-mack, EDD, LMFT, LPCC is a mental health counselor in Saint Cloud, MN. DR. Barbara Skodje-mack, EDD, LMFT, LPCC NPI is 1609933498. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1900 CENTRACARE CIR STE 1000
SAINT CLOUD, MN
ZIP 56303-000
Phone: (320) 229-5199
Fax: (202) 295-1413

The NPI 1609933498 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 5/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health98MINNESOTANo
2106H00000XMarriage & Family Therapist1417MINNESOTANo
3101YM0800XCounselorMental Health1417MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1098402000MEDICAIDMINNESOTA
2136391OTHERMINNESOTAUCARE
3155H2SKOTHERMINNESOTABLUE CROSS BLUE SHIELD
4HP56449OTHERMINNESOTAHEALTH PARTNERS
501044729OTHERMINNESOTAPREFERRED ONE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.