Scott Bristol, LGPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP12449 Issued in MD

Practice address

14502 Greenview Dr Ste 202
Laurel, MD 20708-3287

Phone

(240) 581-1500

Fax

(240) 513-4122

NPI assigned

Mar 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bristol Ascension Enterprises, LLC

  • Adult Mental Health Clinic/Center
  • Derwood, MD
  • NPI 1922728609
  NPD Authorized official
• Imara Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel, MD
  • NPI 1396384756
  NPD
• Oasis of Mind, LLC

  • Mental Health Counselor
  • Glen Burnie, MD
  • NPI 1720761877
  NPD (past)

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1326797689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR STE 202",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083287",
            "telephone_number": "240-581-1500",
            "fax_number": "240-513-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR STE 202",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083287",
            "telephone_number": "240-581-1500",
            "fax_number": "240-513-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOL",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP12449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Elizabeth Brink, MHC-LP
• Cathleen Brinkley
• Dominese Briscoe
• Nicole Leslie Briscoe
• Shirley Briscoe, PT
• Erin Britt, DDS
• Azaria Brobbe
• Janet Lynne Brode, LCPC
• Nora Broendel, LCSW-C
• Dynesha Erin Brooks

• Professional Counselor in Laurel, MD
• Providers in Laurel, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.