Individual provider Active NPI

Rinda Joan Scoggan, PCC-S

  • Professional Counselor
  • Athens, OH
National Provider Identifier
1649530692
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0900406 Issued in OH
Practice address
3 W Stimson Ave
Athens, OH 45701
Phone
(740) 592-3091
Fax
(304) 485-4466
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.0900406 OH Primary

Addresses

Primary practice location

3 W Stimson Ave
Athens, OH 45701

Mailing address

3541 Glazier Road
Guysville, OH 45735
Phone (740) 592-3091

Other names 1

  • Ms. Rinda Joan Gould Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028003919 OH Practitioner - Mental Health Counselor 1557894656 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.0900406OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Services for Behavioral Health CurrentSince Sep 27, 2024 Accepting new patients
Integrated Services for Behavioral Health PastSince Sep 27, 2024 Accepting new patients

Locations

11 Graham Dr
Athens, OH 45701
Phone (740) 594-6807

102 Cattail Rd
Chillicothe, OH 45601
Phone (740) 702-2210

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/isaoh/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1649530692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 GLAZIER ROAD",
            "city": "GUYSVILLE",
            "state": "OH",
            "postal_code": "45735",
            "telephone_number": "740-592-3091",
            "fax_number": "304-485-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W STIMSON AVE",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "45701",
            "telephone_number": "740-592-3091",
            "fax_number": "304-485-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOGGAN",
        "first_name": "RINDA",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "PCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0900406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RINDA",
            "last_name": "GOULD",
            "middle_name": "JOAN",
            "prefix": "MS.",
            "credential": "PCC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.