SARAH ELIZABETH SKOOG (NPI# 1053973628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053973628 |
| Entity Type | Individual |
| Full Name | SARAH ELIZABETH SKOOG |
| Credential | PHD, LPC |
| Practice Address |
1125 E Pine Ave Meridian ID 83642-5955 |
| Mailing Address |
12677 W Irving St Boise ID 83713-2204 |
| Practice Telephone | 2082864274 |
| Mailing Telephone | 8065448882 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
71134 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1125 E PINE AVE |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-5955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457722092 | Bear Tooth Laboratory, LLC | Clinical Medical Laboratory | 1125 E Pine Ave, Ste B, Meridian, ID 83642-5955 | 2015-10-08 |
| 1457906620 | Angela Kay Potts | Counselor | 1125 E Pine Ave, Meridian, ID 83642-5955 | 2019-08-05 |
| 1205489234 | Tiffanie Diane Long | Counselor | 1125 E Pine Ave, Meridian, ID 83642-5955 | 2019-07-18 |
| 1083150296 | Brick House Recovery | Community/Behavioral Health | 1125 E Pine Ave, Meridian, ID 83642-5955 | 2017-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208056 | Cameron Cushing | Counselor | 3293 E Plympton Dr, Meridian, ID 83642-9019 | 2020-09-03 |
| 1982260329 | Maxwell Aristaeus Dusky | Counselor | 3017 S Meridian Rd, Meridian, ID 83642-7962 | 2019-05-10 |
| 1376915298 | Donna Eldridge | Counselor | 3507 Causeyville Rd, Meridian, MS 39301-9174 | 2015-10-30 |
| 1245601616 | Lindsay Kyle | Counselor | 1316 Ridgeview Cir, Meridian, MS 39305-2743 | 2015-10-12 |
| 1952790297 | Wendy Fisher | Counselor | 744 W Kingsley St, Meridian, ID 83646-6222 | 2015-01-09 |
| 1326443938 | Ophelia Mayfield | Counselor | 1923 23rd Ave., Meridian, MS 39301 | 2014-10-24 |
| 1114355757 | Gail Ingra Peterson | Counselor | 3043 S Meridian Rd, Suite 125, Meridian, ID 83642-7922 | 2013-10-16 |
| 1558795773 | Jami Clevenger | Counselor | 943 W Overland Rd Ste 157, Meridian, ID 83642-6541 | 2013-08-23 |
| 1871927152 | Michele Ann Gallegos | Counselor | 2704 N Caribou Way, Meridian, ID 83646-3475 | 2013-08-22 |
| 1184965741 | Juakita L. Grice | Counselor | 1415 35th Ave, Meridian, MS 39301-3628 | 2013-03-07 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.