Kayla Marie Scott, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3403 Issued in MN

Practice address

712 Vista Blvd
#13
Waconia, MN 55387

Phone

(612) 500-6913

NPI assigned

Jun 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

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.

• The Jonas Center, Inc.

  • Clinical Social Worker
  • Cologne, MN
  • NPI 1396837415

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1124680244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 VISTA BLVD # 113",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874559",
            "telephone_number": "612-500-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 VISTA BLVD",
            "address_2": "#13",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "55387",
            "telephone_number": "612-500-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-29",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Schutz, PHARM.D.
• Eden Schwahn
• Lauren Schwen
• Cassidy Lee Schwinghammer
• Adam Kent Scofield, PA-C
• Michael Allen Scott, PSYD
• SD Neubauer Family Health & Wellness, PLLC
• See the Good Occupational Therapy and Wellness
• Debra JS Seppelt, ATC
• Jasmine Sethi, DDS

• Marriage & Family Therapist in Waconia, MN
• Providers in Waconia, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.