Scott Curtis Landon, LPC

Individual provider Active NPI Professional Counselor · Deforest, WI

NPI 1033470232 · NPPES record last updated Oct 12, 2023

Key facts

NPI
1033470232
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
4800-125 (WI)
Practice address
832 Clover LN
Deforest, WI 53532-3073
Phone
(608) 573-1165
NPI assigned
Jun 4, 2012
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4800-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Well Counseling Services LLC Professional Past
since Mar 12, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4800-125 WI Yes

Addresses

Primary practice location

832 Clover LN
Deforest, WI 53532-3073

Mailing address

832 Clover LN
Deforest, WI 53532-3073
Phone (608) 573-1165

Other names

  • Scott Curtis Landon Professional name

Other providers in Deforest, WI

All providers in Deforest, WI · Professional Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.