Jennifer Diane Scott, M.ED, CRC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC 5114 Issued in ID

Practice address

1130 W Prairie Ave
Coeur D Alene, ID 83815-8780

Phone

(208) 209-0288

NPI assigned

Dec 6, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1619212396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2574 W PALAIS DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159349",
            "telephone_number": "208-661-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W PRAIRIE AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158780",
            "telephone_number": "208-209-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "credential": "M.ED, CRC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC 5114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason R Schwintek, M.D.
• Robert Scoggins, M.D., PH.D.
• Scott Randklev Physical Therapy P.a.
• Dianna Scott, LPN
• Haley Scott
• Leah Scott
• Brady Levi Seaman, DC
• Melissa Ann Search
• Brittany Raeanne Sears, PA-C
• Lee J Secrist, MD

• Mental Health Counselor in Coeur D Alene, ID
• Providers in Coeur D Alene, 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 6, 2012; 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.