Individual provider Active NPI

Gillian Scott, LCSW

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1235523010
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5243 Issued in OR
Practice address
1501 SE Holly St
Portland, OR 97214
Phone
(503) 548-3867
NPI assigned
Mar 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5243 OR Primary

Addresses

Primary practice location

1501 SE Holly St
Portland, OR 97214

Mailing address

3430 SE Belmont St Ste 205
Portland, OR 97214-4247
Phone (503) 548-3867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150513002521 OR Practitioner - Clinical Social Worker 0345560405 Reassigns benefits to 1 organization
I20260324002654 WA Practitioner - Clinical Social Worker 0345560405 Practice locations: Port Townsend, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Southern California Keck School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Port Townsend, WA 98368
Phone (503) 548-3867

3136 SE Salmon St
Portland, OR 97214-4142
Phone (503) 548-3867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5243ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gillian Scott Counseling Mental Health CurrentSince Sep 20, 2016 Accepting new patients

Locations

3430 SE Belmont St
Ste 205
Portland, OR 97214
Phone (503) 689-7353

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.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1235523010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 SE BELMONT ST STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144247",
            "telephone_number": "503-548-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SE HOLLY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97214",
            "telephone_number": "503-548-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "GILLIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "5243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.