Scott Richard Meyer, RI-M0909081620

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

RI-M0909081620 Issued in CA

Practice address

6222 Gold Dust Dr
Kelseyville, CA 95451-9214

Phone

(707) 349-7351

NPI assigned

Sep 21, 2009

Last updated

Sep 21, 2009By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1679807986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 GOLD DUST DR.",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "95451",
            "telephone_number": "707-349-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 GOLD DUST DR",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "954519214",
            "telephone_number": "707-349-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "SCOTT",
        "middle_name": "RICHARD",
        "credential": "RI-M0909081620",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RI-M0909081620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDICTION",
            "identifier": "RI-M0909081620",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE DISORDER",
            "identifier": "RI-M0909081620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Hansen Littlefield, RN
• Marrina Brook Lunas
• Michael Maravich, PHARM. D.
• Mary Theresa McMillan, LMFT
• Eunice M Mentges, FNP-BC
• Latisha Miles
• Blancandrea Quetzali Molina, LPCC
• Zabdy Martinez Neria, MSW (LCSW 135934)
• North Coast Faculty Medical Group (Sutter Medical Group of the Redwoods)
• Nurturing Healthy Minds

• Addiction (Substance Use Disorder) Counselor in Kelseyville, CA
• Providers in Kelseyville, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.