John Skinner
Counselor • Mesa, AZ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Skinner has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
John Skinner was a registered Counselor practicing in Mesa, AZ. Throughout an active medical career spanning 4 years, John Skinner provided care at the practice location at 736 N COUNTRY CLUB DR until profile deactivation on 2024-11-08.
Practice Location & Contact Primary Location
736 N Country Club Dr
Mesa, AZ 852014936
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Mesa, AZ
Practicing in Mesa, AZ (1205 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 08, 2024
Record deactivated on November 07, 2024
Registered at 4510 E FOUNTAIN ST, MESA, AZ 852055270 (Tel: 4805214313)
Counselor (License #LISAC-155247 in AZ)
NPI status registered as active in NPPES database
Registered at 736 N COUNTRY CLUB DR, MESA, AZ 852014936 (Tel: 4808440011)
Registered at 4510 E FOUNTAIN ST, MESA, AZ 852055270 (Tel: 4805214313)
Recorded as JOHN SKINNER
Counselor (License #LASAC-15332 in AZ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4510 E Fountain St
Mesa, AZ 852055270
Phone: 4805214313
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