Marilyn Jo Scott, COUNSELOR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78364 Issued in TX

Practice address

114 North Walnut Stree
Clarksville, TX 75426

Phone

(903) 428-8500

NPI assigned

Jan 17, 2023

Last updated

Jan 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holman Family Services LLC

  dba Holman Family Services

  • Mental Health Counselor
  • Irving, TX
  • NPI 1184054843
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1013622851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 DIVISION ST",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754262148",
            "telephone_number": "903-341-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 NORTH WALNUT STREE",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "75426",
            "telephone_number": "903-428-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 N MacArthur Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750623601",
            "country_code": "US",
            "telephone_number": "972-375-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MARILYN",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Red River Emergency Medicine Associates PA
• Rivercrest I.S.D.
• Michael Leroy Roan, MA/CCC-SLP
• Rachel Annette Roberts, APRN, FNP-C
• Lisha Runels
• Walter Vincent Scott II, DDS
• Ashten Simington
• Ravi Kumar Sreerama, M.D.
• Amanda R Stanley, RN
• Lisa Bullard Steinheil, RPH

• Professional Counselor in Clarksville, TX
• Providers in Clarksville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.