Scott Therapeutic Services, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SCOTT THERAPEUTIC SERVICES, PLLC

Practice address

12840 S Ada St
Calumet Park, IL 60827-6410

Phone

(773) 875-5027

Fax

(773) 875-5027

NPI assigned

Apr 15, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Leodis Scott, LCPCNPI 1669844627

Title

President

Phone

(773) 875-5027

Specialties & licenses 5

Addresses

Other names 1

• SCOTT THERAPEUTIC SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leodis F Scott Sr., M.A LPC ED.D

  • Professional Counselor
  • Chicago, IL
  • NPI 1669844627
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1134915580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 S ADA ST",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608276410",
            "telephone_number": "773-875-5027",
            "fax_number": "773-875-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 S ADA ST",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608276410",
            "telephone_number": "773-875-5027",
            "fax_number": "773-875-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT THERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-09-02",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LEODIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-875-5027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCOTT THERAPEUTIC SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Calumet Park, IL
• Providers in Calumet Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.