Daryel Lorenzo Scott Sr.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH25785 Issued in FL

Practice address

5227 Rosetrace Ter
Powder Springs, GA 30127-8439

Phone

(678) 524-4993

NPI assigned

Sep 2, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Building Bridges LLC

  • Early Intervention Provider Agency
  • Melbourne, FL
  • NPI 1245047125
  NPD Authorized official

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1083014625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 KITSUNE WAY",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329272936",
            "telephone_number": "678-524-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5227 ROSETRACE TER",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301278439",
            "telephone_number": "678-524-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DARYEL",
        "middle_name": "LORENZO",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-02",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH25785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Salgado, LCSW
• Jack T Saltz, M.D.
• Darius L. Sams, DPT
• Evelyn Debra Sarpong
• Scott Gynecology & Pelvic Surgery, P.C.
• Laura Searcy, M.N, APRN-BC
• Second View Management, LLC
• Seedlife Foundation
• Serendipity Care Lab Services LLC
• Serendipity Care LLC

• Mental Health Counselor in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.