Active NPI
Jeffrey R Scott, LPC
- Professional Counselor
- Clayton, GA
National Provider Identifier
1124350095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC004223
- Practice address
- 236 File St
Clayton, GA 30525-3023 - Phone
- (706) 212-2037
- Fax
- (801) 437-2984
- NPI assigned
- Feb 3, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC004223 | GA | Primary |
Addresses
Primary practice location
236 File St
Clayton, GA 30525-3023
Mailing address
236 File St
Clayton, GA 30525-3023
Phone (706) 212-2037
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC004223 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Second Nature Blue Ridge, LLC | Past | Accepting new patients | |
| Second Nature Blue Ridge | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Clayton, GA
- NPI 1871706382
-
- Psychiatric Residential Treatment Facility
- Clayton, GA
- NPI 1427562750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1124350095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 FILE ST",
"city": "CLAYTON",
"state": "GA",
"postal_code": "305253023",
"telephone_number": "706-212-2037",
"fax_number": "801-437-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 FILE ST",
"city": "CLAYTON",
"state": "GA",
"postal_code": "305253023",
"telephone_number": "706-212-2037",
"fax_number": "801-437-2984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JEFFREY",
"middle_name": "R",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC004223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.