Individual provider Active NPI

Scott Monroe Inman

  • Community/Behavioral Health Agency
  • Pepper Pike, OH
National Provider Identifier
1043883358
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
173261 Issued in OH
Practice address
30800 Chagrin Blvd
Pepper Pike, OH 44124-5925
Phone
(216) 591-0324
NPI assigned
Jul 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X CDCA.173261 OH
Community/Behavioral Health Agency 251S00000X 173261 OH Primary

Addresses

Primary practice location

30800 Chagrin Blvd
Pepper Pike, OH 44124-5925

Mailing address

2860 Van Aken Blvd Apt 211
Cleveland, OH 44120-2268
Phone (216) 591-0324

Other identifiers 1

IdentifierTypeStateIssuer
2877463MedicaidOH

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

LicenseStateTypeSpecialty
CDCA.173261OHMDAddiction (Substance Use Disorder) Counselor
173261OHMDCommunity/Behavioral Health Agency

Interoperability endpoints

  • Direct secure messaging: scott.inman.p1@direct.crh.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1043883358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 VAN AKEN BLVD APT 211",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202268",
            "telephone_number": "216-591-0324",
            "fax_number": "216-591-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30800 CHAGRIN BLVD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245925",
            "telephone_number": "216-591-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INMAN",
        "first_name": "SCOTT",
        "middle_name": "MONROE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.173261",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "173261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2877463",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pepper Pike, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.