Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Robert C Skidmore, PHD, MDIV, MA, LPC

Individual provider Professional Counselor · NPI 1942547906

Mr. Robert C Skidmore, PHD, MDIV, MA, LPC is a Mental Health Counselor in Medford, Oregon. Qualified in 2009, 17 years ago. Licensed in Oregon.

Years since qualifying
17
Licensed in
OR
In the registry since
2013
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

18 Portland Ave
Medford, OR 97504-7309
Phone: (541) 857-0873
Fax: (541) 245-1530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C3047 (OR)

Record details

NPI number1942547906
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , MDIV , MA , LPC
Sole proprietorNo
NPI enumeratedJanuary 11, 2013
Last updated in NPPESAugust 16, 2025
Certification dateAugust 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

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