Active NPI
Ethenia Alicee Scott, C-EM
- Health & Wellness Coach
- Atlanta, GA
National Provider Identifier
1144057357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 260 Peachtree St NW
Atlanta, GA 30303-1202 - Phone
- (838) 333-3989
- NPI assigned
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Health & Wellness Coach | 171400000X | Primary | ||
| Pastoral Counselor | 101YP1600X | |||
| Poetry Therapist | 102X00000X |
Addresses
Primary practice location
260 Peachtree St NW
Atlanta, GA 30303-1202
Mailing address
1328 Peachtree St NE
Atlanta, GA 30309-3209
Phone (838) 333-3989
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Energy Medicine Practice Incorporated | Current | Accepting new patients |
Locations
1328 Peachtree St NE
Atlanta, GA 30309
Phone (404) 228-7766
Organizations & group practices 1
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.
-
- Integrative Medicine Physician
- Atlanta, GA
- NPI 1679300834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1144057357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 PEACHTREE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093209",
"telephone_number": "838-333-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 PEACHTREE ST NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303031202",
"telephone_number": "838-333-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "ETHENIA",
"middle_name": "ALICEE",
"name_prefix": "Ms.",
"credential": "C-EM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-19",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "102X00000X",
"taxonomy_group": "",
"desc": "Poetry Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.