Patricia Scruggs, LAPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC005300 Issued in GA

Practice address

4536 Barclay Dr
Atlanta, GA 30338-7145

Phone

(770) 458-8711

Fax

(770) 458-8640

NPI assigned

Feb 2, 2017

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Livingwell Collaborative, LLC

  • Professional Counselor
  • Atlanta, GA
  • NPI 1114552874
  NPD (past) Authorized official
• Unlimited Spectrum, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Atlanta, GA
  • NPI 1346610789
  NPD (past)
• WBC Georgia LLC

  • Adult Mental Health Clinic/Center
  • Atlanta, GA
  • NPI 1235674375
  NPD (past)

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1639617277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6875 PEACHTREE DUNWOODY RD",
            "address_2": "#312",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285741",
            "telephone_number": "404-787-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 BARCLAY DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303387145",
            "telephone_number": "770-458-8711",
            "fax_number": "770-458-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "PATRICIA",
        "credential": "LAPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC005300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaliyah Screen
• Scriptech, LLC
• Autumn Scrivens
• Diane Jolieth Scrivens, RN
• Kayley Ryan Scruggs, CNM, WHNP-BC
• Triniti A Scruggs
• Evan Patrick Scullin, MD
• Tina Scully
• David Scurlock, MD
• Benjamin Palmer Scurry, PAC

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.