Individual provider Active NPI

Scott Ross

  • Mental Health Counselor
  • Mountlake Terrace, WA
National Provider Identifier
1356749071
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60783927 Issued in WA
Practice address
22725 44TH Ave W Ste 208
Mountlake Terrace, WA 98043-4500
Phone
(425) 750-5206
NPI assigned
Dec 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X LH60783927 WA Primary

Addresses

Primary practice location

22725 44TH Ave W Ste 208
Mountlake Terrace, WA 98043-4500

Mailing address

22725 44TH Ave W Ste 208
Mountlake Terrace, WA 98043-4500
Phone (425) 750-5206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225003818 WA Practitioner - Mental Health Counselor 7315467941 Practice locations: Mountlake Terrace, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22725 44TH Ave W
Suite 208
Mountlake Terrace, WA 98043-4500
Phone (425) 750-5206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH60783927WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformational Recovery Services CurrentSince Jul 4, 2021 Accepting new patients
Compass Health Past Accepting new patients

Locations

22725 44th Ave W
Ste 208
Mountlake Terrace, WA 98043
Phone (425) 750-5206

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1356749071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22725 44TH AVE W STE 208",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434500",
            "telephone_number": "425-750-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 44TH AVE W STE 208",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434500",
            "telephone_number": "425-750-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-11",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60783927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

Verify at the official NPI Registry.