NICOLE LEANNE SKUFCA LPC
NPI 1407338015
Counselor in Mentor, OH

Q: What is Nicole Skufca's NPI number?

The NPI number for Nicole Skufca is 1407338015. It was assigned to this individual provider in the NPPES registry on August 30, 2018.

Q: What is Nicole Skufca's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Skufca was last updated on September 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 30, 2018PECOS Enrolled

7232 JUSTIN WAY, MENTOR, OH 44060(440) 578-8200 Get Directions Write a Review

NPPES record last updated: September 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2021, Aug 20, 2021, Aug 30, 2018 (3 updates tracked since 2018).

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About Nicole Leanne Skufca Lpc NPPES

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

NICOLE LEANNE SKUFCA LPC (NPI 1407338015) is an individual counselor in Mentor, Ohio, licensed in Ohio (C.1901736) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407338015

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameNICOLE LEANNE SKUFCACredential: LPC

Location Address7232 JUSTIN WAYMentor, OH 44060-4881

Mailing Address7232 Justin WayMentor, OH 44060-4881 · (440) 578-8200

Phone(440) 578-8200

Sole ProprietorNo

Enumeration DateAugust 30, 2018

Last NPPES UpdateSeptember 12, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2021

✔ NPI 1407338015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OH · C.1901736

Definition

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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

7232 JUSTIN WAY, Mentor, OH 44060

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Other Identifiers 1

Medicaid0312595OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Leanne Skufca Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

BRETT BENNETT

Case Manager/Care Coordinator