Individual provider Active NPI

Clarke Scott, MA, LAC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1417404740
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
20773 Issued in AZ
Practice address
1016 N 1St Dr Unit 148B
Phoenix, AZ 85003-1455
Phone
(303) 504-7751
NPI assigned
Sep 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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 LAC18441 AZ
Professional Counselor 101YP2500X 20773 AZ Primary

Addresses

Primary practice location

1016 N 1St Dr Unit 148B
Phoenix, AZ 85003-1455

Mailing address

1016 N 1St Dr Unit 148B
Phoenix, AZ 85003-1455

Other practice location 1

340 E Palm Ln Ste 255
Phoenix, AZ 85004-4604
Phone (602) 918-3664

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LAC18441AZMDMental Health Counselor
20773AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clarke Scott Counseling, LLC CurrentSince Feb 27, 2022 Accepting new patients

Locations

340 E Palm Ln
Ste 255
Phoenix, AZ 85004
Phone (602) 918-3664

Organizations & group practices 1

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": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1417404740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 N 1ST DR UNIT 148B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N 1ST DR UNIT 148B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031455",
            "telephone_number": "303-504-7751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 E Palm Ln Ste 255",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850044604",
            "country_code": "US",
            "telephone_number": "602-918-3664",
            "fax_number": "480-681-1916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CLARKE",
        "credential": "MA, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC18441",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "20773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.