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

Samuel Skidmore, MS

Individual provider Mental Health Counselor · NPI 1336990563

Samuel Skidmore, MS is a Mental Health Counselor in Berkeley, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2222 Bancroft Way Spc 4300
Berkeley, CA 94720-4300
Phone: (510) 642-9494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1336990563
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorYes
NPI enumeratedMarch 27, 2024
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address4056 S Suada Cir, Holladay, UT 84124-1748

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