Individual provider Active NPI

Jill B. Wade-Scott, LPC

  • Professional Counselor
  • Lake Ozark, MO
National Provider Identifier
1700022209
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2008006368 Issued in MO
Practice address
424 Overlook Rd
Lake Ozark, MO 65049-7139
Phone
(573) 286-7262
NPI assigned
Jan 5, 2009
Last updated
Jan 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2008006368 MO Primary

Addresses

Primary practice location

424 Overlook Rd
Lake Ozark, MO 65049-7139

Mailing address

424 Overlook Rd
Lake Ozark, MO 65049-7139
Phone (573) 286-7262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2008006368MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon of Hope Counseling Services CurrentSince Feb 2, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1700022209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 OVERLOOK RD",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650497139",
            "telephone_number": "573-286-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 OVERLOOK RD",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650497139",
            "telephone_number": "573-286-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE-SCOTT",
        "first_name": "JILL",
        "middle_name": "B.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2008006368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.