Individual provider Active NPI

Mashawn Scott-Carr, ED.D., LPC, CSAC

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1043726045
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007386 Issued in VA
Practice address
7447 Central Business Park Dr
Norfolk, VA 23513-2867
Phone
(757) 756-5600
NPI assigned
Dec 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701007386 VA
Professional Counselor 101YP2500X 0701007386 VA Primary

Addresses

Primary practice location

7447 Central Business Park Dr
Norfolk, VA 23513-2867

Mailing address

3732 Woodmere Dr
Portsmouth, VA 23703-2775
Phone (757) 332-4353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409001413 VA Practitioner - Mental Health Counselor 1850739905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of NorfolkGroup PAC ID 8325001951, 16 clinicians

Practice addresses (Care Compare)

7447 Central Business Park Dr
Norfolk, VA 23513-2867
Phone (757) 756-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701007386VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
City of Norfolk CurrentSince Mar 1, 2024 Accepting new patients

Locations

3755 E Virginia Beach Blvd
Norfolk, VA 23502
Phone (757) 664-7699

7464 Tidewater Dr
Norfolk, VA 23505
Phone (757) 664-6679

7447 Central Business Park Dr
Norfolk, VA 23513
Phone (757) 393-6363

7447 Central Business Park Dr
#B
Norfolk, VA 23513
Phone (757) 756-5600

7460 Tidewater Dr
Norfolk, VA 23505
Phone (757) 664-6670

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.

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1043726045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 WOODMERE DR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032775",
            "telephone_number": "757-332-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 CENTRAL BUSINESS PARK DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132867",
            "telephone_number": "757-756-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT-CARR",
        "first_name": "MASHAWN",
        "name_prefix": "Ms.",
        "credential": "ED.D., LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007386",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.