Scott Kazer, MS, PPSC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · McClellan, CA
NPI 1265357339 · NPPES record last updated Aug 10, 2026
Key facts
- NPI
- 1265357339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 240116001 (CA)
- Practice address
- 5115 Dudley Blvd
McClellan, CA 95652-1024 - Phone
- (916) 566-1600
- NPI assigned
- Aug 10, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 240116001 | CA | Yes |
Addresses
Primary practice location
5115 Dudley Blvd
McClellan, CA 95652-1024
Mailing address
5115 Dudley Blvd
McClellan, CA 95652-1024
Phone (916) 566-1600
Other providers in McClellan, CA
- Glenda Fe Jimenez
- Jessica Marie Johnson
- Tresa M Jones
- Julie Kirkes
- Debra Lynne Karling-Isaacs
- Ashley Nicole Kingkham
- Matthew R Kugelman
- Elena Lanin
- Lynda J. Liddell
- Clark Lomboy
All providers in McClellan, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.