Individual provider Active NPI

Stacey Y Scott, LCP

  • Clinical Psychologist
  • Franklin, VA
National Provider Identifier
1790716009
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003499 Issued in VA
Practice address
105 Wist Ave
Franklin, VA 23851-1701
Phone
(757) 956-6100
Fax
(757) 956-6101
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810003499 VA Primary

Addresses

Primary practice location

105 Wist Ave
Franklin, VA 23851-1701

Mailing address

2713 Deerfield Cres.
Chesapeake, VA 23321-2447
Phone (757) 956-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050308000471 VA Practitioner - Clinical Psychologist 5698729150 Reassigns benefits to 1 organization
I20190801002321 NC Practitioner - Clinical Psychologist 5698729150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brenda Lee Davis Ma LPC LLCGroup PAC ID 2163840083, 5 clinicians

Practice addresses (Care Compare)

3217 Western Branch Blvd
Chesapeake, VA 23321-5235
Phone (757) 956-6100

8845 Caratoke Hwy
Suite 2
Point Harbor, NC 27964-9607
Phone (757) 956-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5465NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda Lee Davis Ma LPC LLC CurrentSince Oct 22, 2021 Accepting new patients
Eden Counseling Center PastSince Dec 1, 2006 Accepting new patients
Genesis Counseling Center, Inc. Clinical PastSince Nov 16, 2013 Accepting new patients
Chapman Senior Care, Inc. Clinical PastSince Apr 9, 2011 Accepting new patients
Southside Counseling Center, LLC Past Accepting new patients

Locations

7429 Caratoke Hwy
Jarvisburg, NC 27947
Phone (252) 491-2111

8845 Caratoke Hwy
Ste 2
Point Harbor, NC 27964
Phone (757) 956-6100

3217 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 956-6100

3207 Churchland Blvd
Chesapeake, VA 23321

511 N Main St
Franklin, VA 23851
Phone (757) 956-6100

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1790716009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 DEERFIELD CRES.",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212447",
            "telephone_number": "757-956-6100",
            "fax_number": "757-956-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WIST AVE",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511701",
            "telephone_number": "757-956-6100",
            "fax_number": "757-956-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "STACEY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

Sources for this page

Verify at the official NPI Registry.