Active NPI
Scott Alexander Cavins, M.A.
- Mental Health Counselor
- Indianapolis, IN
National Provider Identifier
1649207697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39000119A
- Practice address
- 8102 Clearvista Pkwy
Indianapolis, IN 46256-1661 - Phone
- (800) 446-0305
- Fax
- (317) 806-3867
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- 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 | 39000119A | IN | Primary |
| Marriage & Family Therapist | 106H00000X | 35001332A | IN |
Addresses
Primary practice location
8102 Clearvista Pkwy
Indianapolis, IN 46256-1661
Mailing address
8102 Clearvista Pkwy
Indianapolis, IN 46256-1661
Phone (800) 446-0305
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000276088 | Other | IN | ANTHEM/WELLPOINT BC/BS |
| 172022 | Other | IN | COMPSYCH |
| 0005468510 | Other | IN | AETNA |
| 76742982 | Other | UBH | |
| 114986000 | Other | IN | MAGELLAN |
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 |
|---|---|---|---|
| 39000119A | IN | MD | Mental Health Counselor |
| 35001332A | IN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1649207697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8102 CLEARVISTA PKWY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561661",
"telephone_number": "800-446-0305",
"fax_number": "317-806-3867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8102 CLEARVISTA PKWY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561661",
"telephone_number": "800-446-0305",
"fax_number": "317-806-3867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVINS",
"first_name": "SCOTT",
"middle_name": "ALEXANDER",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39000119A",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35001332A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM/WELLPOINT BC/BS",
"identifier": "000000276088",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "172022",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005468510",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "76742982",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "114986000",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.