Individual provider Active NPI

Stephanie Winfield Scott-Kotlus, LPC, LMHC, ED.M., MA

  • Mental Health Counselor
  • Royal Oak, MI
National Provider Identifier
1356780738
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401012364 Issued in MI
Practice address
27172 Woodward Ave
#200
Royal Oak, MI 48067-0963
Phone
(248) 546-0407
Fax
(248) 548-1925
NPI assigned
Jun 19, 2013
Last updated
Jun 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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 6401012364 MI Primary
Mental Health Counselor 101YM0800X 000656-1 NY

Addresses

Primary practice location

27172 Woodward Ave
#200
Royal Oak, MI 48067-0963

Mailing address

27172 Woodward Ave
#200
Royal Oak, MI 48067-0963
Phone (248) 546-0407

Other names 1

  • Miss Stephanie Winfield Scott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401012364MIMDMental Health Counselor
000656-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1356780738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27172 WOODWARD AVE",
            "address_2": "#200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670963",
            "telephone_number": "248-546-0407",
            "fax_number": "248-548-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27172 WOODWARD AVE",
            "address_2": "#200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670963",
            "telephone_number": "248-546-0407",
            "fax_number": "248-548-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT-KOTLUS",
        "first_name": "STEPHANIE",
        "middle_name": "WINFIELD",
        "name_prefix": "Mrs.",
        "credential": "LPC, LMHC, ED.M., MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012364",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000656-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SCOTT",
            "middle_name": "WINFIELD",
            "prefix": "MISS",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.