MR. NICHOLAS SKINNER (NPI# 1306351333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306351333 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS SKINNER |
| Practice Address |
115 Wilson St Deridder LA 70634-3823 |
| Mailing Address |
3625 Youree Dr Shreveport LA 71105-2121 |
| Practice Telephone | 3374634020 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831319664 | Nicholas Skinner | Counselor | 700 Se Cross St, Mount Sterling, IL 62353-1561 | 2007-04-26 |
| Street Address |
115 WILSON ST |
| City | DERIDDER |
| State | LA |
| Zip Code | 70634-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649308693 | Maxine Angela Kuesters | Case Manager/Care Coordinator | 115 Wilson St, Deridder, LA 70634-3823 | 2007-03-01 |
| 1275163198 | Jasmine Harris-johnson | Case Manager/Care Coordinator | 115 Wilson St, Deridder, LA 70634-3823 | 2020-01-20 |
| 1932748548 | Matthew Lee Sykes | Case Manager/Care Coordinator | 115 Wilson St, Deridder, LA 70634-3823 | 2019-12-30 |
| 1720629678 | Victoria Lovejoy | Case Manager/Care Coordinator | 115 Wilson St, Deridder, LA 70634-3823 | 2019-10-02 |
| 1093375214 | Linda Sue Pamplin | Case Manager/Care Coordinator | 115 Wilson St, Deridder, LA 70634-3823 | 2019-06-19 |
| 1437629029 | Kayla Watkins | Case Manager/Care Coordinator | 115 Wilson St, Deridder, LA 70634-3823 | 2018-11-27 |
| 1568937845 | Kimberly Mayes | Case Manager/Care Coordinator | 115 Wilson St, Deridder, LA 70634-3823 | 2018-10-12 |
| 1386126951 | Jeremy Erwin | Case Manager/Care Coordinator | 115 Wilson St, Deridder, LA 70634-3823 | 2018-08-30 |
| 1164918587 | Nikeisha Faye Jenkins | Case Manager/Care Coordinator | 115 Wilson St, Deridder, LA 70634 | 2018-07-09 |
| 1710478813 | Jessamy Hanchey | Counselor | 115 Wilson St, Deridder, LA 70634-3823 | 2018-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016164 | Just Health | Clinic/Center | 411 Bolivar Bishop Dr, Deridder, LA 70634 | 2020-06-02 |
| 1477193183 | Stacey Marie Legros | Occupational Therapy Assistant | 19503 Highway 171, Deridder, LA 70634 | 2020-01-10 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1902367568 | Residential Therapy Solutions, LLC | Physical Therapist | 19503 Hwy 171, Deridder, LA 70634 | 2019-03-27 |
| 1023583044 | Calcasieu Urgent Care LLC | Clinic/Center | 1017 N Pine Street, Deridder, LA 70634 | 2018-10-05 |
| 1235638222 | Melanie Welch, Fnp, LLC | Nurse Practitioner | 1420 Blankenship Dr., Deridder, LA 70634 | 2018-02-06 |
| 1265976617 | Jennifer Dianne Midgett | Nurse Practitioner | 2581 Highway 190 W, Deridder, LA 70634 | 2016-12-05 |
| 1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
| 1982835013 | Kathern Sue Hollifield | Physical Therapist | 309 S. Washington St., Beauregard Physical Therapy Clinic Inc, Deridder, LA 70634 | 2009-08-06 |
| 1750541777 | Tracy Winkley | Physical Therapist | 1744 Ball Rd, Deridder, LA 70634 | 2008-06-12 |
| Find all providers in zip 70634 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538361811 | Martin James Romero | Counselor | 735 West Dr, Deridder, LA 70634-3410 | 2007-05-31 |
| 1740751411 | Lauren Kay Jenkins | Counselor | 735 West Dr, Deridder, LA 70634-3410 | 2018-12-06 |
| 1710478813 | Jessamy Hanchey | Counselor | 115 Wilson St, Deridder, LA 70634-3823 | 2018-05-23 |
| 1659862019 | Ashley Marie Mccartney | Counselor | 115 Wilson St, Deridder, LA 70634-3823 | 2018-05-22 |
| 1790206449 | Shannon Ardoin | Counselor | 115 Wilson St, Deridder, LA 70634-3823 | 2017-07-03 |
| 1417489550 | Alana Marie Conley | Counselor | 115 Wilson St, Deridder, LA 70634-3823 | 2017-03-29 |
| 1952851222 | Gladys Marie Mcqueen | Counselor | 115 Wilson St, Deridder, LA 70634-3823 | 2016-10-10 |
| 1811354590 | Jessica Mae Dung | Counselor | 115 Wilson St, Deridder, LA 70634-3823 | 2016-01-26 |
| 1881051704 | Chelsea Morris | Counselor | 115 Wilson St, Deridder, LA 70634-3823 | 2016-01-22 |
| 1922465996 | Chequila Daniels | Counselor | 115 Wilson St, Deridder, LA 70634-3823 | 2016-01-21 |
| Find all providers in DERIDDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.