KELLI P SKOOG M.A., LMFT
NPI 1407212806
Marriage & Family Therapist in Saint Paul, MN

Q: What is Kelli Skoog's NPI number?

The NPI number for Kelli Skoog is 1407212806. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Q: What is Kelli Skoog's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Kelli Skoog enrolled in Medicare?

No. Kelli Skoog has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kelli Skoog was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 14, 2016Opted out of Medicare · through Jan 1, 2028

1114 GRAND AVE, SAINT PAUL, MN 55105(612) 444-1890 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2021, Jan 14, 2016 (2 updates tracked since 2016).

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About Kelli P Skoog M.a., Lmft NPPES

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

KELLI P SKOOG M.A., LMFT (NPI 1407212806) is an individual marriage & family therapist in Saint Paul, Minnesota, licensed in Minnesota (3416) and active in the NPI registry since January 2016. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1407212806

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLI P SKOOGCredential: M.A., LMFT

Location Address1114 GRAND AVESaint Paul, MN 55105-2628

Mailing Address6712 2nd Ave SRichfield, MN 55423-2411 · (612) 581-6742

Phone(612) 444-1890

Sole ProprietorYes

Enumeration DateJanuary 14, 2016

Last NPPES UpdateJanuary 28, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2021

✔ NPI 1407212806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in MN · 3416✔ Licensed in MN · Z096253359215

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1114 GRAND AVE, Saint Paul, MN 55105

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelli P Skoog M.a., Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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Other Providers at the Same Location NPPES 20

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

KELSEY LUNDQUIST

Marriage & Family Therapist