Crystal Scott, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH22781 Issued in FL

Practice address

2245 Kistlers Ridge Way
Jacksonville, FL 32221-1840

Phone

(813) 585-1362

NPI assigned

Sep 25, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• The Clarity Collective LLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1912872664
  NPD Authorized official

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1760033286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 KISTLERS RIDGE WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322211840",
            "telephone_number": "813-585-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 KISTLERS RIDGE WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322211840",
            "telephone_number": "813-585-1362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7821 N Dale Mabry Hwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336143200",
            "country_code": "US",
            "telephone_number": "813-585-1362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CRYSTAL",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Elizabeth Scott
• Chanel Scott, APRN
• Chloe Rae Scott, RBT
• Chrisheka Lashawn Scott
• Christopher Dean Scott, MD
• Daena A Scott, OT
• Diane Scott, NCRPS
• Dylan Howell Scott, MD
• Evelyn Keel Scott
• Javonna N Scott

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.