Active NPI
Todd Amecilo Scales, B.A; QP
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1558696468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 105-366
- Practice address
- 4822 Albemarle Rd
107
Charlotte, NC 28205-6668 - Phone
- (980) 939-8061
- NPI assigned
- Oct 9, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 105-366 | NC | Primary |
Addresses
Primary practice location
4822 Albemarle Rd
107
Charlotte, NC 28205-6668
Mailing address
4822 Albemarle Rd
107
Charlotte, NC 28205-6668
Phone (980) 939-8061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105-366 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255046400000",
"number": "1558696468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4822 ALBEMARLE RD",
"address_2": "107",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282056668",
"telephone_number": "980-939-8061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4822 ALBEMARLE RD",
"address_2": "107",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282056668",
"telephone_number": "980-939-8061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALES",
"first_name": "TODD",
"middle_name": "AMECILO",
"name_prefix": "Mr.",
"credential": "B.A; QP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-09",
"last_updated": "2009-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "105-366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.