Active NPI
Scott Eugene Davis, LPC
- Professional Counselor
- Prescott, AZ
National Provider Identifier
1235316456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16036
- Practice address
- 141 S McCormick St
Prescott, AZ 86303-4729 - Phone
- (928) 515-4967
- NPI assigned
- Jan 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 63481 | TX | |
| Professional Counselor | 101YP2500X | 16036 | AZ | Primary |
Addresses
Primary practice location
141 S McCormick St
Prescott, AZ 86303-4729
Mailing address
1045 S Walnut Rd
Prescott, AZ 86303-5263
Phone (972) 342-0035
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16036 | AZ | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1235316456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 S WALNUT RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863035263",
"telephone_number": "972-342-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 S MCCORMICK ST",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863034729",
"telephone_number": "928-515-4967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SCOTT",
"middle_name": "EUGENE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-30",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "63481",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "16036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.