Wilbert O. Scott Sr., RAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

S1111101239 Issued in CA

Practice address

1408 A St
Antioch, CA 94509-2331

Phone

(925) 978-2873

Fax

(925) 757-0411

NPI assigned

Apr 6, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• J Cole Recovery Homes, Inc

  • Substance Abuse Rehabilitation Facility
  • Antioch, CA
  • NPI 1376766238
  NPD (past)

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1467718122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 CASHEW ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945097347",
            "telephone_number": "510-381-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 A ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092331",
            "telephone_number": "925-978-2873",
            "fax_number": "925-757-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WILBERT",
        "middle_name": "O.",
        "name_suffix": "Sr.",
        "credential": "RAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "S1111101239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREINING",
            "identifier": "S1111101239",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larri M Scott, CPT 2
• Marilyn Jean Scott, LCSW
• Nailah Scott
• Natalie Ann Scott
• Tammy Denise Scott
• Scriptchain LLC
• Veronica Scruggs, MA, OTR/L
• Margaret (Meg) Seaver, MD
• Michael Seftchick
• Kelli Segers

• Addiction (Substance Use Disorder) Counselor in Antioch, CA
• Providers in Antioch, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.