MR. MICHAEL J SKODA (NPI# 1891092128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891092128 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL J SKODA |
| Credential | LPCC-S, LICDC, SAP |
| Practice Address |
26777 Lorain Rd Ste 403 North Olmsted OH 44070 |
| Mailing Address |
26777 Lorain Rd Ste 403 North Olmsted OH 44070-3224 |
| Practice Telephone | 4402206926 |
| Practice Fax Number | 4402207750 |
| Mailing Telephone | 4402206926 |
| Mailing Fax Number | 4402207750 |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2018-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LICDC.141063 | OH | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E.1000455-SUPV | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0206683 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 36 Public Sq Ste 202, Willoughby, OH 440947874 | 4402206926 | 4402207750 |
| Street Address |
26777 LORAIN RD STE 403 |
| City | NORTH OLMSTED |
| State | OH |
| Zip Code | 44070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840065 | Kenneth Vincent Wojtonek | Assistant Behavior Analyst | 26777 Lorain Rd Ste 403, North Olmsted, OH 44070-3224 | 2019-06-18 |
| 1104301407 | Skoda & Associates LLC | Counselor | 26777 Lorain Rd Ste 403, North Olmsted, OH 44070-3224 | 2018-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801270517 | Residence Home Care LLC | Home Health | 30701 Lorain Rd, Suite B, North Olmsted, OH 44070 | 2015-07-13 |
| 1205265188 | Audra Maria Popik | Counselor | 6758 Warrington Dr, North Olmsted, OH 44070 | 2013-11-01 |
| 1679875058 | Nathan T Stuckey | Pharmacist | 5737 Decker Rd, North Olmsted, OH 44070 | 2010-11-17 |
| 1710216874 | Tracey Powell Blake | Respiratory Therapist, Registered | 23916 Elm Road, North Olmsted, OH 44070 | 2009-12-18 |
| 1598911356 | St. Clarence Geac | Assisted Living Facility | 30344 Lorain Rd., North Olmsted, OH 44070 | 2008-08-13 |
| 1568597870 | Shannon Marie Gorman | Home Health Aide | 3801 Brendan Lane, C4, North Olmsted, OH 44070 | 2007-02-23 |
| 1902980097 | Arthur Jeffrey Schechtman | Dentist | 920 Great Northern Mall, North Olmstead, OH 44070 | 2006-10-25 |
| 1417054305 | Marta Takacs | Psychologist | 4859 Dover Center Rd #9, N Olmsted, OH 44070 | 2006-09-20 |
| 1245336643 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 832 Great Northern Mall, North Olmsted, OH 44070 | 2006-09-15 |
| 1457455149 | Teresa Marya Coyne | Nurse Practitioner | 23225 Lorain, N Olmstead, OH 44070 | 2006-09-12 |
| Find all providers in zip 44070 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295116796 | Mary Doherty | Counselor | 28922 Lorain Rd Ste 100, North Olmsted, OH 44070-4053 | 2015-06-11 |
| 1245483692 | Nancy Ann Klein | Counselor | 25111 Country Club Blvd., Ste 290, North Olmsted, OH 44070-5330 | 2008-10-29 |
| 1750423109 | Nadine M. Bardar | Counselor | 23792 Lorain Rd Ste 100, North Olmsted, OH 44070-2225 | 2007-02-13 |
| 1659383958 | Lynn Marie Skunta | Counselor | 4859 Dover Center Rd Ste 9, North Olmsted, OH 44070-3191 | 2006-08-13 |
| 1386686962 | Rae Speaker | Counselor | 25111 Country Club Blvd Ste 290, North Olmsted, OH 44070-5330 | 2006-06-11 |
| 1427003169 | Michele Manos | Counselor | 25111 Country Club Blvd, Suite 290, North Olmsted, OH 44070-5345 | 2006-05-23 |
| 1629563101 | Nicole Pantani | Counselor | 26777 Lorain Rd, North Olmsted, OH 44070-3200 | 2018-06-26 |
| 1104171032 | Barbara A Reitman | Counselor | 26777 Lorain Road, #308, North Olmsted, OH 44070-3225 | 2012-07-17 |
| 1164598025 | Robert James Reitman | Counselor | 26777 Lorain Rd, Suite 602, North Olmsted, OH 44070-3200 | 2006-11-24 |
| 1720186315 | Claudia Kerr Myer | Counselor | 26777 Lorain Rd, Suite 306, North Olmsted, OH 44070-3200 | 2006-09-20 |
| Find all providers in NORTH OLMSTED | ||||
| City | NORTH OLMSTED |
| Zip Code | 44070 |
Please comment or provide details below to improve the information on MR. MICHAEL J SKODA.
| 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.