Active NPI
Kelly C Scott, LMHC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1588938799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 006464
- Practice address
- 79 Chambers St FL 2
New York, NY 10007-1824 - Phone
- (914) 222-3253
- NPI assigned
- Mar 6, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P82848 | NY | |
| Mental Health Counselor | 101YM0800X | 006464 | NY | Primary |
Addresses
Primary practice location
79 Chambers St FL 2
New York, NY 10007-1824
Mailing address
79 Chambers St FL 2
New York, NY 10007-1824
Phone (914) 222-3253
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 |
|---|---|---|---|
| P82848 | NY | MD | Mental Health Counselor |
| 006464 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1588938799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 CHAMBERS ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100071824",
"telephone_number": "914-222-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 CHAMBERS ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100071824",
"telephone_number": "914-222-3253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KELLY",
"middle_name": "C",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-06",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P82848",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "006464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.