Active NPI
Scott E Bair, LMFT
- Marriage & Family Therapist
- Burlington, IA
National Provider Identifier
1811909260
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Jan 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 00240
- Practice address
- 1621 Dodge St
Burlington, IA 52601-3202 - Phone
- (319) 457-2282
- Fax
- (319) 865-3110
- NPI assigned
- Aug 13, 2006
- Last updated
- Feb 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 00240 | IA | Primary |
Addresses
Primary practice location
1621 Dodge St
Burlington, IA 52601-3202
Mailing address
1621 Dodge St
Burlington, IA 52601-3202
Phone (319) 457-2282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600012681 | Medicaid | IA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00240 | IA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1811909260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 DODGE ST",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526013202",
"telephone_number": "319-457-2282",
"fax_number": "319-865-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 DODGE ST",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526013202",
"telephone_number": "319-457-2282",
"fax_number": "319-865-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIR",
"first_name": "SCOTT",
"middle_name": "E",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "00240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600012681",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.