CECILIA MAE SKIDMORE M.A., L.P.C.
NPI 1760533632
Counselor - Mental Health in Grand Rapids, MI
About Cecilia Mae Skidmore M.a., L.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CECILIA MAE SKIDMORE M.A., L.P.C. (NPI 1760533632) is an individual mental health provider in Grand Rapids, Michigan, licensed in Michigan (6401001787) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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)
Cecilia Mae Skidmore M.a., L.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Cecilia Skidmore's NPI number?
The NPI number for Cecilia Skidmore is 1760533632. It was assigned to this individual provider in the NPPES registry on January 16, 2007.
Where is Cecilia Skidmore located?
Cecilia Skidmore practices at 2288 Dean Lake Ave NE, Grand Rapids, MI 49505. The listed phone number is (313) 443-7581.
What is Cecilia Skidmore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Cecilia Skidmore enrolled in Medicare?
Yes. Cecilia Skidmore is registered in the Medicare PECOS enrollment system.
What insurance does Cecilia Skidmore accept?
Health plans from Priority Health list Cecilia Skidmore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cecilia Skidmore was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.
# Cecilia Mae Skidmore, M.A., L.P.C. · NPI 1760533632
Mental Health provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since January 16, 2007.
## Identity
- **NPI:** 1760533632 (Entity type: Individual)
- **Enumerated:** January 16, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6401001787 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2288 DEAN LAKE AVE NE, Grand Rapids, MI 49505-4445
- **Phone:** (313) 443-7581
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** June 18, 2026
- **Other identifiers:** Other 6401001767 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1760533632) · Data from the CMS NPPES public registry.