Active NPI
Michelle K Scott, LPC
- Professional Counselor
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 70723
- Practice address
- 1911 Galleria Oaks Dr
Texarkana, TX 75503-4617 - Phone
- (210) 446-8255
- Fax
- (888) 823-3497
- NPI assigned
- Jun 16, 2015
- Last updated
- Feb 21, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 70723 | TX | Primary |
Addresses
Primary practice location
1911 Galleria Oaks Dr
Texarkana, TX 75503-4617
Mailing address
1911 Galleria Oaks Dr
Texarkana, TX 75503-4617
Phone (903) 792-0308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70723 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sabine Valley Regional MHMR Center | Professional | Current | Accepting new patients |
| Sabine Valley Regional MHMR Center | Current | Accepting new patients | |
| Counseling Connections of San Antonio | Professional | Past | Accepting new patients |
Locations
107 Woodbine Pl
Longview, TX 75601
Phone (903) 234-4226
1300 N 6th St
Longview, TX 75601
Phone (903) 232-8928
3110 H G Mosley Pkwy
#104
Longview, TX 75605
Phone (903) 234-9200
1911 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 792-0212
Organizations & group practices 3
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.
-
dba Community Healthcore
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longview, TX
- NPI 1639232002
Professional
-
dba Community Healthcore
- Family Medicine Physician
- Longview, TX
- NPI 1841835022
-
- Community/Behavioral Health Agency
- San Antonio, TX
- NPI 1780914549
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1750762696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 GALLERIA OAKS DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755034617",
"telephone_number": "903-792-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 GALLERIA OAKS DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755034617",
"telephone_number": "210-446-8255",
"fax_number": "888-823-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MICHELLE",
"middle_name": "K",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.