MISS SHELLEY ANN SKARDA B.S. LADC
NPI 1407149396
Counselor - Addiction (Substance Use Disorder) in Pine City, MN

Q: What is Shelley Skarda's NPI number?

The NPI number for Shelley Skarda is 1407149396. It was assigned to this individual provider in the NPPES registry on May 25, 2011.

Q: What is Shelley Skarda's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Shelley Skarda was last updated on May 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 25, 2011

17305 MEADOW CREEK LANE, PINE CITY, MN 55063(763) 444-4838 Get Directions Write a Review

NPPES record last updated: May 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miss Shelley Ann Skarda B.s. Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS SHELLEY ANN SKARDA B.S. LADC (NPI 1407149396) is an individual addiction (substance use disorder) provider in Pine City, Minnesota, licensed in Minnesota (302565) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1407149396

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMISS SHELLEY ANN SKARDACredential: B.S. LADC

Location Address17305 MEADOW CREEK LANEPine City, MN 55063

Mailing Address108h South DrCircle Pines, MN 55014-3309 · (612) 735-1066

Phone(763) 444-4838

Sole ProprietorYes

Enumeration DateMay 25, 2011

✔ NPI 1407149396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MN · 302565

17305 MEADOW CREEK LANE, Pine City, MN 55063

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEADOW CREEK LLC

Substance Abuse Rehabilitation Facility

17305 MEADOW CREEK LANE
PINE CITY, MN 55063

Pine County (763) 444-4838

MARIANNE BERNADETTE THIRY LADC

Counselor (Addiction (Substance Use Disorder))

17305 MEADOW CREEK LANE
PINE CITY, MN 55063

Pine County (763) 444-4878

SHIRLEEN KAY ROACH LAMFT

Counselor (Mental Health)

17305 MEADOW CREEK LANE
PINE CITY, MN 55063

Pine County (763) 444-4838

MEADOW CREEK, INC

Substance Abuse Rehabilitation Facility

17305 MEADOW CREEK LANE
PINE CITY, MN 55063

Pine County (612) 326-7555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelley Skarda's NPI number?

The NPI number for Shelley Skarda is 1407149396. It was assigned to this individual provider in the NPPES registry on May 25, 2011.

Where is Shelley Skarda located?

Shelley Skarda practices at 17305 Meadow Creek Lane, Pine City, MN 55063. The listed phone number is (763) 444-4838.

What is Shelley Skarda's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shelley Skarda was last updated on May 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.