Individual provider Active NPI

Katy Joanna Scoblink, MSC, LISAC

  • Addiction (Substance Use Disorder) Counselor
  • Oro Valley, AZ
National Provider Identifier
1255709390
Registry record updated Sep 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LISAC - 11884 Issued in AZ
Practice address
11915 N Deerclover LN
Oro Valley, AZ 85737-8668
Phone
(520) 909-4425
NPI assigned
Sep 7, 2015
Last updated
Sep 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC - 11884 AZ Primary

Addresses

Primary practice location

11915 N Deerclover LN
Oro Valley, AZ 85737-8668

Mailing address

11915 N Deerclover LN
Oro Valley, AZ 85737-8668
Phone (520) 909-4425

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

LicenseStateTypeSpecialty
LISAC - 11884AZMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Old Pueblo Community Services Past 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, 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": "1441584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441584000000",
    "number": "1255709390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11915 N DEERCLOVER LN",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857378668",
            "telephone_number": "520-909-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11915 N DEERCLOVER LN",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857378668",
            "telephone_number": "520-909-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOBLINK",
        "first_name": "KATY",
        "middle_name": "JOANNA",
        "name_prefix": "Mrs.",
        "credential": "MSC, LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC - 11884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; 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.