Individual provider Active NPI

Elizabeth Ann Scott, M.ED, LPC-S

  • Professional Counselor
  • Lubbock, TX
National Provider Identifier
1215192091
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68805 Issued in TX
Practice address
301 40TH St
Lubbock, TX 79404
Phone
(806) 743-9355
NPI assigned
Jul 22, 2008
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 68805 TX
Professional Counselor 101YP2500X 68805 TX Primary

Addresses

Primary practice location

301 40TH St
Lubbock, TX 79404

Mailing address

PO Box 6545
Lubbock, TX 79493-6545
Phone (806) 743-3446

Other practice location 1

8008 Slide Rd Ste 31
Lubbock, TX 79424-2828
Phone (806) 300-0898

Other names 1

  • Elizabeth Scott Olson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CombestWellness@direct.myteamcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231202000330 TX Practitioner - Mental Health Counselor 1951758002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 40TH St
Lubbock, TX 79404-2746
Phone (806) 743-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center - Son - Lubbock CurrentSince Jan 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center - Son - Lubbock Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Rise Counseling PLLC Professional Past Accepting new patients

Locations

301 40th St
Lubbock, TX 79404
Phone (806) 743-9355

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1215192091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6545",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794936545",
            "telephone_number": "806-743-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 40TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79404",
            "telephone_number": "806-743-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8008 Slide Rd Ste 31",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794242828",
            "country_code": "US",
            "telephone_number": "806-300-0898",
            "fax_number": "806-701-5422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "M.ED, LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2023-12-22",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68805",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CombestWellness@direct.myteamcare.com",
            "affiliation": "N",
            "endpointDescription": "Combest",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 40th St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "OLSON",
            "middle_name": "SCOTT",
            "credential": "M.ED., LPC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.