Scott Kay Andersen, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC2823 Issued in ID

Practice address

343 E 4TH N
Suite 244
Rexburg, ID 83440-6002

Phone

(208) 356-0088

Fax

(208) 524-3738

NPI assigned

Jul 27, 2006

Last updated

Dec 8, 2011By the provider in NPPES

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 5

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JJST Enterprises Corp

  dba R & R Counseling

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1275065807
  Authorized official Same address or phone
• JJST Enterprises Corp.

  dba Rexburg Counseling

  • Mental Health Counselor
  • Rexburg, ID
  • NPI 1164723334
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1508870676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E 4TH N",
            "address_2": "SUITE 244",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834406002",
            "telephone_number": "208-356-0088",
            "fax_number": "208-524-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E 4TH N",
            "address_2": "SUITE 244",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834406002",
            "telephone_number": "208-356-0088",
            "fax_number": "208-524-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "SCOTT",
        "middle_name": "KAY",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC2823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164723334",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Q7699",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Q7348",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBH",
            "identifier": "710C6005",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "D214391",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Consulting and Testing LLC
• Creshel Allowitz Hill, LPC
• Lorinda Allred
• Matthew Hardy Allred, D.O.
• Alpine Dermatology Clinic P.C.
• David Howard Anderson, RPH
• Emma Anderson, M.S., CCC-SLP
• Jeffrey C Anderson, NP
• Jeffrey D. Anderson, MS, CCC-SLP
• Julie Marie Anderson, P.A.

• Mental Health Counselor in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.