Individual provider Active NPI

Scott Carlton Councilman II

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1245730605
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4900 Issued in NC
Practice address
8511 Colonnade Center Dr Ste 132
Raleigh, NC 27615-3067
Phone
(919) 848-7774
NPI assigned
Feb 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4900 NC Primary

Addresses

Primary practice location

8511 Colonnade Center Dr Ste 132
Raleigh, NC 27615-3067

Mailing address

218C S Front St
New Bern, NC 28560-2136
Phone (919) 356-5680

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4900NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Therapy Solutions PLLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

218C S Front St
New Bern, NC 28560
Phone (252) 514-0092

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": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1245730605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218C S FRONT ST",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285602136",
            "telephone_number": "919-356-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 COLONNADE CENTER DR STE 132",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153067",
            "telephone_number": "919-848-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNCILMAN",
        "first_name": "SCOTT",
        "middle_name": "CARLTON",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-12",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.