Individual provider Active NPI

Scott Grizzle, LPC

  • Professional Counselor
  • Tyler, TX
National Provider Identifier
1093352072
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78527 Issued in TX
Practice address
3800 Paluxy Dr Ste 431
Tyler, TX 75703-1659
Phone
(903) 576-9003
NPI assigned
Dec 9, 2019
Last updated
Aug 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 78527 TX Primary

Addresses

Primary practice location

3800 Paluxy Dr Ste 431
Tyler, TX 75703-1659

Mailing address

4024 Chapel Quarters
Tyler, TX 75707-5483
Phone (903) 576-9003

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
78527TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hopelink Counseling Community, PLLC CurrentSince Dec 1, 2019 Accepting new patients

Locations

1820 Shiloh Rd
Ste 1405
Tyler, TX 75703
Phone (903) 284-5199

3800 Paluxy Dr
Ste 431
Tyler, TX 75703
Phone (469) 964-6018

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1093352072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 CHAPEL QUARTERS",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757075483",
            "telephone_number": "903-576-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 PALUXY DR STE 431",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031659",
            "telephone_number": "903-576-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIZZLE",
        "first_name": "SCOTT",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.