Scott Ellison Fitzwater, LPC CADC III

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9123 SE Saint Helens St Ste 100F
Clackamas, OR 97015-6800

Phone

(503) 740-1971

Fax

(503) 771-2436

NPI assigned

Jul 25, 2011

Last updated

Jul 26, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chaise Group LLCGroup PAC ID 7911006929, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chaise Group, LLC

  dba IHC Associates

  • Multi-Specialty Clinic/Center
  • Clackamas, OR
  • NPI 1073720017

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Mind Matters PC

  • Psychologist
  • Beaverton, OR
  • NPI 1285839019
  NPD (past)

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1558649574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 SE SUNNYSIDE RD # F1217",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157708",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9123 SE SAINT HELENS ST STE 100F",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156800",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 NE Hancock St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972125321",
            "country_code": "US",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1217 NE Burnside Rd Ste 701",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970305770",
            "country_code": "US",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZWATER",
        "first_name": "SCOTT",
        "middle_name": "ELLISON",
        "name_prefix": "Mr.",
        "credential": "LPC CADC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Morrow Fiscus, MSN,CNM
• Adam John Fishback
• Dan Fisher, RRT
• Lisa Mariea Fithian, RN
• Lynda Lynell Gigstad Fitzpatrick, AU.D.
• Jennifer Ann Fleischer
• Kristian Elijah Flores, MD
• Channing Danae Flury, PMHNP
• FM Princeton, LLC (Princeton Village Assisted Living)
• Amanda Fobare, M.D.

• Mental Health Counselor in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.