Kenneth Michael Scott, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1985 Issued in AL

Practice address

224 2ND Ave SE
Decatur, AL 35601-2344

Phone

(256) 341-0811

Fax

(256) 341-9358

NPI assigned

Oct 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Eagle Consulting, LLC

  • Professional Counselor
  • Decatur, AL
  • NPI 1881963221
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1114115995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 2ND AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012344",
            "telephone_number": "256-341-0811",
            "fax_number": "256-341-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 2ND AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012344",
            "telephone_number": "256-341-0811",
            "fax_number": "256-341-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KENNETH",
        "middle_name": "MICHAEL",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS",
            "identifier": "51541688",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51529274",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "558326",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Schroeder
• Mitchell W Schuster, M.D.
• Betty Jean Schwab, NURSE PRACTITIONER
• Brittany Schwenk
• Scott a. Matthews, M.D., P.C.
• Paul P Scott
• Jason Randall Seale, M.D.
• Shemika T Sears, MS
• Keri Jane Sebesta, LICSW
• Dennis Sehgal, MD

• Professional Counselor in Decatur, AL
• Providers in Decatur, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.