Individual provider Active NPI

Katherine G Scott, LPA

  • Psychologist
  • Goldsboro, NC
National Provider Identifier
1659348787
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2574 Issued in NC
Practice address
600 N Madison Ave
Goldsboro, NC 27530-3143
Phone
(919) 739-0047
Fax
(919) 739-9041
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2574 NC Primary

Addresses

Primary practice location

600 N Madison Ave
Goldsboro, NC 27530-3143

Mailing address

PO Box 362
Pikeville, NC 27863-0362
Phone (919) 739-0047

Other identifiers 1

IdentifierTypeStateIssuer
6107387MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 20, 2025 through Aug 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2574NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
You-Turn Counseling Past Accepting new patients

Organizations & group practices 1

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1659348787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278630362",
            "telephone_number": "919-739-0047",
            "fax_number": "919-739-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MADISON AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303143",
            "telephone_number": "919-739-0047",
            "fax_number": "919-739-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KATHERINE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107387",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.