Leodis F Scott Sr., M.A LPC ED.D

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178011419 Issued in IL

Practice address

7601 S Kostner Ave
Chicago, IL 60652-1126

Phone

(773) 875-5027

NPI assigned

Oct 29, 2015

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

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Scott Therapeutic Services, PLLC

  • Mental Health Counselor
  • Calumet Park, IL
  • NPI 1134915580

  Professional

  Medicare reassignment NPD Authorized official
• G & S Durable Medical Equipment and Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Hammond, IN
  • NPI 1730798109
  NPD Authorized official
• LLS Durable Medical Equipment & Supplies

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1447818034
  NPD (past)

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1669844627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528484",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606528484",
            "telephone_number": "773-875-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 S KOSTNER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521126",
            "telephone_number": "773-875-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LEODIS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.A LPC ED.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-29",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178011419",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenyatta Scott, STA
• Khalid Binwalid Scott, LCSW, CADC
• Kourtney Nikkole Scott
• Lashonda Scott, M.D,
• Latonya Deneen Scott
• Lonyia Scott
• Lucy Jane Scott, LCPC
• Mac H Scott, M.D.
• Malik Jordan-Deane Scott
• Marion Elizabeth Scott

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.