Active NPI
Kari Vernice Scott, LPCC, LADC
- Mental Health Counselor
- Saint Paul, MN
National Provider Identifier
1821683343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC02753
- Practice address
- 1619 Dayton Ave Ste 325
Saint Paul, MN 55104-6495 - Phone
- (763) 228-4752
- NPI assigned
- Mar 5, 2021
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303736 | MN | |
| Mental Health Counselor | 101YM0800X | CC02753 | MN | Primary |
Addresses
Primary practice location
1619 Dayton Ave Ste 325
Saint Paul, MN 55104-6495
Mailing address
5745 Standish Ave
Minneapolis, MN 55417-2715
Phone (612) 237-4330
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://www.intentionalselfcounseling.org/ |
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 |
|---|---|---|---|
| 303736 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| CC02753 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1821683343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5745 STANDISH AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554172715",
"telephone_number": "612-237-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 DAYTON AVE STE 325",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551046495",
"telephone_number": "763-228-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KARI",
"middle_name": "VERNICE",
"credential": "LPCC, LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-05",
"last_updated": "2021-03-05",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "303736",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC02753",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "http://www.intentionalselfcounseling.org/",
"affiliation": "N",
"endpointDescription": "Business/practice webpage",
"address_1": "1619 Dayton Ave Ste 325",
"city": "Saint Paul",
"state": "MN",
"country_code": "US",
"postal_code": "551046495",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.