Trecia Moodie Scott, MAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

508607 Issued in NC

Practice address

3815 N Tryon St
Charlotte, NC 28206-2060

Phone

(704) 372-8809

Fax

(833) 328-5728

NPI assigned

Jan 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hope Haven Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Charlotte, NC
  • NPI 1154545663
  NPD (past)
• Hope Haven, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Charlotte, NC
  • NPI 1184589525
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1326225624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062060",
            "telephone_number": "704-372-8809",
            "fax_number": "833-328-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062060",
            "telephone_number": "704-372-8809",
            "fax_number": "833-328-5728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 Church St N",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280254300",
            "country_code": "US",
            "telephone_number": "704-262-1320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "TRECIA",
        "middle_name": "MOODIE",
        "name_prefix": "Miss",
        "credential": "MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "508607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21286",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Kate Scott, MD
• Sonja Aretina Scott
• Talia Scott, LCMHCA
• Tim Scott
• Timothy Scott
• Zara E Scott
• David Matthew Scovill, M.D.
• Dana J Scroggs, SLP
• Michelle Scullock, MD
• Casey Keegan Scully Long, PA

• Addiction (Substance Use Disorder) Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.