Active NPI
Celeste Scott, MA, LP
- Psychologist
- Wayzata, MN
National Provider Identifier
1568775484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP 5262
- Practice address
- 901 Twelve Oaks Center Dr Ste 908D
Wayzata, MN 55391-4707 - Phone
- (952) 607-0017
- Fax
- (952) 223-6114
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP5262 | MN | |
| Psychologist | 103T00000X | LP 5262 | MN | Primary |
Addresses
Primary practice location
901 Twelve Oaks Center Dr Ste 908D
Wayzata, MN 55391-4707
Mailing address
PO Box 347
Wayzata, MN 55391-0347
Phone (952) 607-0017
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 5262 | MN | MD | Psychologist |
| LP5262 | MN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1568775484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 347",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553910347",
"telephone_number": "952-607-0017",
"fax_number": "952-223-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 TWELVE OAKS CENTER DR STE 908D",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553914707",
"telephone_number": "952-607-0017",
"fax_number": "952-223-6114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "CELESTE",
"credential": "MA, LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP5262",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP 5262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayzata, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.