NPIMap

Organization Active NPI

Scott M Yarosh, LLC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1144543265
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
32260 Issued in MN
Legal business name
SCOTT M YAROSH, LLC
Practice address
1600 University Ave W
Suite 205
Saint Paul, MN 55104-3898
Phone
(651) 655-6255
NPI assigned
Mar 3, 2010
Last updated
Mar 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Scott Merrill Yarosh, MDNPI 1871571109
Title
Owner
Phone
(651) 955-6255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 32260 MN Primary

Addresses

Primary practice location

1600 University Ave W
Suite 205
Saint Paul, MN 55104-3898

Mailing address

1600 University Ave W
Suite 205
Saint Paul, MN 55104-3898
Phone (651) 655-6255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100413000072 MN Part B Supplier - Clinic/Group Practice 5698801140 Receives reassigned benefits from 3 practitioners
Practice locations: Maple Grove, MN; Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

11280 86th Ave N
Maple Grove, MN 55369
Phone (763) 400-7828

1600 University Ave W
Ste 205
Saint Paul, MN 55104
Phone (651) 493-4101

1600 University Ave W
Ste 312
Saint Paul, MN 55104
Phone (651) 955-6255

Practitioners & affiliated clinicians

Practitioners 86

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 86

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1144543265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W",
            "address_2": "SUITE 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043898",
            "telephone_number": "651-655-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W",
            "address_2": "SUITE 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043898",
            "telephone_number": "651-655-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M YAROSH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "YAROSH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MERRILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-955-6255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "32260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.