Active NPI
Jeremy Willis Scott, MH21848
- Mental Health Counselor
- Oviedo, FL
National Provider Identifier
1013689421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH21848
- Practice address
- 870 Clark St
Oviedo, FL 32765-9270 - Phone
- (386) 410-9078
- NPI assigned
- Oct 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH21848 | FL | Primary |
Addresses
Primary practice location
870 Clark St
Oviedo, FL 32765-9270
Mailing address
870 Clark St Ste 1030
Oviedo, FL 32765-9270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH21848 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1013689421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 CLARK ST STE 1030",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327659270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 CLARK ST",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327659270",
"telephone_number": "386-410-9078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JEREMY",
"middle_name": "WILLIS",
"credential": "MH21848",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-04",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH21848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.