Jackie L Scott, LPC-S, LCPC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2934 Issued in KS

Practice address

201 N Penn Ave Ste 405
Independence, KS 67301-3354

Phone

(620) 688-6595

Fax

(888) 975-3464

NPI assigned

Dec 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Jackie L Hanselman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Whalen Therapeutic Center PLLC

  • Mental Health Counselor
  • Catoosa, OK
  • NPI 1912398322
  NPD Authorized official

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618099200000",
    "number": "1669740411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N PENN AVE STE 405",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013354",
            "telephone_number": "620-688-6595",
            "fax_number": "888-975-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N PENN AVE STE 405",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013354",
            "telephone_number": "620-688-6595",
            "fax_number": "888-975-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JACKIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LPC-S, LCPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "5538",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "2934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "HANSELMAN",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "LPC-S, LCPC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra L. Easter, O.D.
• Lisa Gayle Schuler
• Erica Schultz
• Barbara Scofield
• Barbara Scott
• Hayden Mikel Danielle Seifert, PTA
• Senior Living Capital Group
• Melinda Anne Shaver, PSY.D.
• Cynthia E Sherwood
• Sandra Shire

• Mental Health Counselor in Independence, KS
• Providers in Independence, KS by specialty
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; 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.