Individual provider Active NPI

Scott Lewis Makin, LMHC, NCC

  • Mental Health Counselor
  • Marion, IN
National Provider Identifier
1114139987
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39000344A Issued in IN
Practice address
1500 S Western Ave
Marion, IN 46953-1542
Phone
(260) 579-5406
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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 39000344A IN Primary

Addresses

Primary practice location

1500 S Western Ave
Marion, IN 46953-1542

Mailing address

427 W State Road 124
Wabash, IN 46992-8841
Phone (260) 579-5406

Other practice location 1

3563 S State Road 13
Wabash, IN 46992-9162
Phone (260) 563-8452 ext. 273

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
39000344AINMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1114139987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W STATE ROAD 124",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469928841",
            "telephone_number": "260-579-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S WESTERN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469531542",
            "telephone_number": "260-579-5406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3563 S State Road 13",
            "address_purpose": "LOCATION",
            "city": "Wabash",
            "state": "IN",
            "postal_code": "469929162",
            "country_code": "US",
            "telephone_number": "260-563-8452 x273",
            "fax_number": "260-569-0335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKIN",
        "first_name": "SCOTT",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "credential": "LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000344A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

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