Scott Daniel Pickens

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C.2103900 Issued in OH

Practice address

1239 Central Ave
Middletown, OH 45044-4103

Phone

(513) 558-9006

NPI assigned

Jan 13, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/centralclinic/r4/

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.

• Onda Counseling Services, LLC

  • Mental Health Counselor
  • Beavercreek, OH
  • NPI 1982364220
  Medicare reassignment NPD
• Central Clinic Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1558540732
  NPD (past)
• Central Clinic Outpatient Services

  • Addiction (Substance Use Disorder) Counselor
  • Cincinnati, OH
  • NPI 1023549391

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1821687914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ALBERT SABIN WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292838",
            "telephone_number": "513-558-9006",
            "fax_number": "513-558-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 CENTRAL AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444103",
            "telephone_number": "513-558-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "SCOTT",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2023-01-17",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2103900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "C.2103900",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallory Kathleen Phillips
• Mark D. Phillips, DDS
• Kayla Maymie Philpot
• Peggy Renee Philpot, RN
• PHS Anesthesia Billing, LLC
• Cynthia Lynn Pierson, LPN
• Melissa Pierson, PA-C
• Heidi Elizabeth Pinder, COTA
• Tonna Pintogross, LPN
• Amy R Pittman, LISW

• Counselor in Middletown, OH
• Providers in Middletown, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.