Organization Active NPI

Stephanie D Scott

Doing business as Pamlico Child and Family Therapy

  • Mental Health Counselor
  • New Bern, NC
National Provider Identifier
1508136433
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
STEPHANIE D SCOTT
Doing business as
Pamlico Child and Family Therapy
Practice address
3282 Wellons Blvd
New Bern, NC 28562-5234
Phone
(252) 745-7401
Fax
(252) 745-7400
NPI assigned
Jan 10, 2012
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Stephanie Diane Scott, MED, LCMHCS, NCCNPI 1518263680
Title
Owner
Phone
(252) 571-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

3282 Wellons Blvd
New Bern, NC 28562-5234

Mailing address

3282 Wellons Blvd
New Bern, NC 28562-5234
Phone (252) 571-1100

Other practice location 1

13814 NC Hwy 55
Bayboro, NC 28515-5502
Phone (252) 665-4618

Other practice location 2

418 Nc Highway 58 N Unit D
Trenton, NC 28585-9619
Phone (252) 745-7401

Other practice location 3

134 Industiral Drive
Trenton, NC 28585
Phone (252) 745-7401

Other practice location 4

13818 Nc Highway 55
Bayboro, NC 28515-9108
Phone (252) 745-7401

Other identifiers 1

IdentifierTypeStateIssuer
6008696MedicaidNC

Other names 1

  • Pamlico Child and Family Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

13818 NC Highway 55
Bayboro, NC 28515
Phone (252) 745-7401

3282 Wellons Blvd
New Bern, NC 28562
Phone (252) 571-1100

418 NC Highway 58 N
Unit D
Trenton, NC 28585
Phone (252) 745-7401

Practitioners & affiliated clinicians

Practitioners 4

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": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1508136433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3282 WELLONS BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625234",
            "telephone_number": "252-571-1100",
            "fax_number": "252-351-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3282 WELLONS BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625234",
            "telephone_number": "252-745-7401",
            "fax_number": "252-745-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13814 NC Hwy 55",
            "address_purpose": "LOCATION",
            "city": "Bayboro",
            "state": "NC",
            "postal_code": "285155502",
            "country_code": "US",
            "telephone_number": "252-665-4618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "418 Nc Highway 58 N Unit D",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NC",
            "postal_code": "285859619",
            "country_code": "US",
            "telephone_number": "252-745-7401",
            "fax_number": "252-745-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 Industiral Drive",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NC",
            "postal_code": "28585",
            "country_code": "US",
            "telephone_number": "252-745-7401",
            "fax_number": "252-745-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13818 Nc Highway 55",
            "address_purpose": "LOCATION",
            "city": "Bayboro",
            "state": "NC",
            "postal_code": "285159108",
            "country_code": "US",
            "telephone_number": "252-745-7401",
            "fax_number": "252-745-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHANIE D SCOTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-571-1100",
        "authorized_official_credential": "MED, LCMHCS, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008696",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamlico Child and Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pamlico Child and Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.