MS. BARBARA SKODJE MACK (NPI# 1609933498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609933498 |
| Entity Type | Individual |
| Full Name | MS. BARBARA SKODJE MACK |
| Credential | L.M.F.T. |
| Practice Address |
209 S 2nd St Suite 306 Mankato MN 56001-3626 |
| Practice Telephone | 5073871350 |
| Practice Fax Number | 5073876605 |
| Mailing Telephone | 5073871350 |
| Mailing Fax Number | 5073876605 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1417 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE | 136391 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 155H2SK | 01 |
| MN | PREFERRED ONE | 01044729 | 01 |
| MN | HEALTH PARTNERS | HP56449 | 01 |
| Street Address |
209 S 2ND ST SUITE 306 |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-3626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952680456 | Lisa Jorgenson Weir | Marriage & Family Therapist | 209 S 2nd St, Ste 306, Mankato, MN 56001-3626 | 2011-08-15 |
| 1932254521 | Allan Joseph Coursol | Counselor | 209 S 2nd St, Suite 306, Mankato, MN 56001-3626 | 2007-01-24 |
| 1093860587 | Joann Patrice Frey Hawkins | Counselor | 209 S 2nd St, Suite 306, Mankato, MN 56001-3626 | 2007-01-24 |
| 1679628192 | Mankato Psychology Clinic, Plc | Counselor | 209 S 2nd St, Suite 306, Mankato, MN 56001-3626 | 2007-01-24 |
| 1780739748 | Peggy Sue Hesse | Counselor | 209 S 2nd St, Suite 306, Mankato, MN 56001-3626 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215585583 | Chris Schoenstedt | Counselor | 137 Coy St, Mankato, MN 56001-4609 | 2019-08-29 |
| 1508377581 | Helena Stevens | Counselor | 408 Tanager Path, Mankato, MN 56001-6446 | 2017-10-18 |
| 1033631213 | Aaron Geringer | Counselor | 530 N Riverfront Dr Ste 140, Mankato, MN 56001-3627 | 2017-07-10 |
| 1588067540 | Rochelle Ann Rheingans | Counselor | 201 N Broad St Ste 308, Mankato, MN 56001-3569 | 2014-10-06 |
| 1487053658 | Amy Norsten | Counselor | 931 Madison Ave # 312, Mankato, MN 56001 | 2014-08-13 |
| 1336573245 | Amanda Hope Wolff | Counselor | 1704 N Riverfront Dr Ste 3, Mankato, MN 56001-3284 | 2013-08-27 |
| 1194870881 | George Whitney Clements | Counselor | 201 N. Broad St., Mankato Mental Health Associates, Mankato, MN 56001 | 2007-01-24 |
| 1629681200 | Olivia Joy Richtsmeier | Counselor | 44 Good Counsel Dr, Mankato, MN 56001-6599 | 2020-08-25 |
| 1447863022 | Ryan W Riebel | Counselor | 44 Good Counsel Dr, Mankato, MN 56001-6599 | 2020-08-25 |
| 1770195471 | Ashley S Guthmiller | Counselor | 44 Good Counsel Dr, Mankato, MN 56001-6599 | 2020-08-24 |
| Find all providers in MANKATO | ||||
Please comment or provide details below to improve the information on MS. BARBARA SKODJE MACK.
| 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.