Individual provider Active NPI

Rebecca Lynn Scoggin, RC

  • Mental Health Counselor
  • Toano, VA
National Provider Identifier
1093536484
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704015990 Issued in VA
Practice address
10120 Fire Tower Rd
Toano, VA 23168-9507
Phone
(757) 566-1775
NPI assigned
Oct 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704015990 VA Primary

Addresses

Primary practice location

10120 Fire Tower Rd
Toano, VA 23168-9507

Mailing address

6140 S Mayfair Cir
Williamsburg, VA 23188-1790
Phone (757) 707-6827

Other practice location 1

5388 Discovery Park Blvd
Williamsburg, VA 23188-8218
Phone (757) 345-5588

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
0704015990VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Catchers PastSince Oct 20, 2024 Accepting new patients

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": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1093536484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 S MAYFAIR CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881790",
            "telephone_number": "757-707-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 FIRE TOWER RD",
            "city": "TOANO",
            "state": "VA",
            "postal_code": "231689507",
            "telephone_number": "757-566-1775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5388 Discovery Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231888218",
            "country_code": "US",
            "telephone_number": "757-345-5588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOGGIN",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "RC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704015990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toano, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.