Scott Louis Smith, MA, LISAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LISAC1224 Issued in AZ

Practice address

925 N Stapley Dr
#A
Mesa, AZ 85203-5637

Phone

(480) 461-0795

Fax

(480) 964-2323

NPI assigned

Aug 1, 2005

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• DW Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1174797146
  NPD (past) Authorized official

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740280775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N STAPLEY DRIVE",
            "address_2": "#A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035637",
            "telephone_number": "480-461-0795",
            "fax_number": "480-964-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N STAPLEY DR",
            "address_2": "#A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035637",
            "telephone_number": "480-461-0795",
            "fax_number": "480-964-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "middle_name": "LOUIS",
        "credential": "MA, LISAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC1224",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LISAC1224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quentin Smith, D.C.
• Reneau M Smith, BHT
• Rick Martin Smith
• Ryan Patrick Smith, D.M.D.
• Sandra Smith, CCP
• Shasmine Smith
• Shawn Christopher Smith, PA-C
• Susan J Smith, CCC-SLP
• Thomas Samuel Smith, FNP-BC, CRNFA
• Tiffany Smith

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.