NPIMap

Organization Active NPI

Scott Community Care, PLLC

  • Professional Counselor
  • Moscow, ID
National Provider Identifier
1356644769
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SCOTT COMMUNITY CARE, PLLC
Practice address
317 W 6TH St Ste 208
Moscow, ID 83843-2387
Phone
(208) 882-3504
Fax
(877) 935-2107
NPI assigned
Dec 8, 2010
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Melanie Jayne Scott, LSW-I
Title
Owner
Phone
(208) 874-2962

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

317 W 6TH St Ste 208
Moscow, ID 83843-2387

Mailing address

PO Box 307
Deary, ID 83823-0307
Phone (208) 877-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190306003704 ID Part B Supplier - Clinic/Group Practice 2567701618 Receives reassigned benefits from 9 practitioners
Practice locations: Moscow, ID

National Provider Directory

National Provider Directory
Tax ID family
Scott Community Care PLLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

317 W 6th St
Ste 208
Moscow, ID 83843
Phone (208) 882-3504

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1356644769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "DEARY",
            "state": "ID",
            "postal_code": "838230307",
            "telephone_number": "208-877-1444",
            "fax_number": "208-877-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W 6TH ST STE 208",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432387",
            "telephone_number": "208-882-3504",
            "fax_number": "877-935-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT COMMUNITY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "JAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-874-2962",
        "authorized_official_credential": "LSW-I"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.