Active NPI
Candyce Yvonne Scott, LPC
- Professional Counselor
- West Hartford, CT
National Provider Identifier
1750851366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3607
- Practice address
- 61 S Main St Ste 310
West Hartford, CT 06107 - Phone
- (860) 325-3119
- NPI assigned
- Nov 27, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CT | ||
| Professional Counselor | 101YP2500X | 3607 | CT | Primary |
Addresses
Primary practice location
61 S Main St Ste 310
West Hartford, CT 06107
Mailing address
PO Box 2113
New Britain, CT 06050-2113
Phone (860) 212-9623
Other practice location 1
3580 Main St Ste 2
Hartford, CT 06120-1121
Phone (860) 904-7843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 823916357 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3607 | CT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Today'S Youth, LLC | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- New Britain, CT
- NPI 1134385115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1750851366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2113",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060502113",
"telephone_number": "860-212-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 S MAIN ST STE 310",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "06107",
"telephone_number": "860-325-3119"
}
],
"practiceLocations": [
{
"address_1": "3580 Main St Ste 2",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061201121",
"country_code": "US",
"telephone_number": "860-904-7843",
"fax_number": "860-904-2221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "CANDYCE",
"middle_name": "YVONNE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "3607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "823916357",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.