Organization Active NPI

Scion Counseling Inc

  • Counselor
  • Palm Desert, CA
National Provider Identifier
1053927285
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SCION COUNSELING INC
Practice address
72925 Fred Waring Dr Ste 201
Palm Desert, CA 92260-9405
Phone
(760) 895-1616
Fax
(760) 334-8715
NPI assigned
Sep 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Clinton Patrick Newell, LPCCNPI 1639290620
Title
Owner
Phone
(760) 895-1616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

72925 Fred Waring Dr Ste 201
Palm Desert, CA 92260-9405

Mailing address

72925 Fred Waring Dr Ste 201
Palm Desert, CA 92260-9405
Phone (760) 895-1616

Other identifiers 1

IdentifierTypeStateIssuer
LPCC25OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240515001295 CA Part B Supplier - Clinic/Group Practice 0941641427 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Desert, CA

National Provider Directory

National Provider Directory

Locations

72925 Fred Waring Dr
Ste 102
Palm Desert, CA 92260
Phone (442) 245-7050

72925 Fred Waring Dr
Ste 201
Palm Desert, CA 92260
Phone (562) 547-3383

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1053927285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72925 FRED WARING DR STE 201",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609405",
            "telephone_number": "760-895-1616",
            "fax_number": "760-334-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72925 FRED WARING DR STE 201",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609405",
            "telephone_number": "760-895-1616",
            "fax_number": "760-334-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCION COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "NEWELL",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-895-1616",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LPCC25",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.