Scott G. Kixmiller, MSW, LCSW, LCAS, CCS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007896 Issued in NC

Practice address

3755 Admiral Dr Ste 105a
High Point, NC 27265-1554

Phone

(336) 673-5097

Fax

(336) 203-3644

NPI assigned

Dec 17, 2010

Last updated

Aug 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Saved Health IncGroup PAC ID 2860823101, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saved Health Inc

  • Addiction Psychiatry Physician
  • High Point, NC
  • NPI 1740762160

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Affect Provider Group, P.S.C.

  dba Affect Provider Group, P.C.

  • Community/Behavioral Health Agency
  • Archdale, NC
  • NPI 1710619580
  Medicare reassignment
• Ringer Centers Inc

  dba The Ringer Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greensboro, NC
  • NPI 1467403170

  Clinical

  NPD
• Affect Provider Group, P.S.C.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lincoln, NE
  • NPI 1023889052
  NPD
• Affect Provider Group, P.S.C.

  dba Affect Provider Group

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Danville, KY
  • NPI 1326799081
  NPD
• Bethany Medical Center

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1952404188
  NPD (past)
• Affect Therapeutics Inc

  dba Affect Therapeutics

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Charlottesville, VA
  • NPI 1104402064

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1669775318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 ADMIRAL DR STE 105A",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651554",
            "telephone_number": "336-673-5097",
            "fax_number": "336-203-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 ADMIRAL DR STE 105A",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651554",
            "telephone_number": "336-673-5097",
            "fax_number": "336-203-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIXMILLER",
        "first_name": "SCOTT",
        "middle_name": "G.",
        "credential": "MSW, LCSW, LCAS, CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-17",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1890",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6112277",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael V. Kirch, PHD
• Amy May Kirkland, AU.D.
• Jason Kirkman
• Kirsten T. Bertschi, Ma, CCC-SLP, PLLC (High Point Speech Therapy)
• Evan Kitchen
• Erin Kline, MS, RDN, CSO, LDN
• Derrick Antwain Knight
• Megan Mastey Knoll
• Amber Knox, RN
• Debora Knox, RN

• Clinical Social Worker in High Point, NC
• Providers in High Point, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.