Individual provider Active NPI

Scott J Cipolla, LMHC, LICSW

  • Mental Health Counselor
  • Newburyport, MA
National Provider Identifier
1245394147
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3881 Issued in MA
Practice address
50 Water St
Suite #246
Newburyport, MA 01950-2889
Phone
(978) 376-8451
Fax
(978) 462-9455
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 3881 MA Primary
Clinical Social Worker 1041C0700X 111706 MA

Addresses

Primary practice location

50 Water St
Suite #246
Newburyport, MA 01950-2889

Mailing address

50 Water St
Suite #246
Newburyport, MA 01950-2889
Phone (978) 376-8451

Other identifiers 1

IdentifierTypeStateIssuer
1859706MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040225000504 MA Practitioner - Clinical Social Worker 1153217294 Practice locations: Newburyport, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

74 Federal St
Newburyport, MA 01950-2815
Phone (978) 376-8451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Suffolk Community Services Inc. PastSince Mar 3, 2005 Accepting new patients

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1245394147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WATER ST",
            "address_2": "SUITE #246",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502889",
            "telephone_number": "978-376-8451",
            "fax_number": "978-462-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WATER ST",
            "address_2": "SUITE #246",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502889",
            "telephone_number": "978-376-8451",
            "fax_number": "978-462-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPOLLA",
        "first_name": "SCOTT",
        "middle_name": "J",
        "credential": "LMHC, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "3881",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1859706",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.