Individual provider Active NPI

Michelle K Scott, LPC

  • Professional Counselor
  • Texarkana, TX
National Provider Identifier
1750762696
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70723 Issued in TX
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117000930 TX Practitioner - Mental Health Counselor 1254783103 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70723TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sabine Valley Regional MHMR Center Professional Current Accepting new patients
Sabine Valley Regional MHMR Center CurrentSince Jan 1, 2024 Accepting new patients
Counseling Connections of San Antonio Professional PastSince Feb 18, 2016 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.

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

Verify at the official NPI Registry.