Active NPI
Jill Scott
- Addiction (Substance Use Disorder) Counselor
- Sebring, FL
National Provider Identifier
1710389341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- IMH 12309
- Practice address
- 2100 Lakeview Dr Ste 2/3
Sebring, FL 33870-3185 - Phone
- (863) 382-3388
- NPI assigned
- Sep 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | IMH 12309 | FL | Primary |
Addresses
Primary practice location
2100 Lakeview Dr Ste 2/3
Sebring, FL 33870-3185
Mailing address
2100 Lakeview Dr Ste 2/3
Sebring, FL 33870-3185
Phone (863) 382-3388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260219002838 | FL | Practitioner - Mental Health Counselor | 3678054475 | Practice locations: Sebring, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2220 Lakeview Dr
Sebring, FL 33870-4971
Phone (863) 446-2013
PO Box
Suite 25742
Sarasota, FL 34277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH 12309 | FL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1710389341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 LAKEVIEW DR STE 2/3",
"city": "SEBRING",
"state": "FL",
"postal_code": "338703185",
"telephone_number": "863-382-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 LAKEVIEW DR STE 2/3",
"city": "SEBRING",
"state": "FL",
"postal_code": "338703185",
"telephone_number": "863-382-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JILL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-26",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "IMH 12309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.