Scott D Huntington, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3376-125 Issued in WI

Practice address

1626 Clarence CT
West Bend, WI 53095-8533

Phone

(262) 338-8611

Fax

(262) 338-3367

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• La Clinica de Los Campesinos, Inc

  • Federally Qualified Health Center (FQHC)
  • Stevens Point, WI
  • NPI 1790786929
  Medicare reassignment
• Genesis Behavioral Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • West Allis, WI
  • NPI 1568620466
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1841310596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST",
            "address_2": "SUITE 2210",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532145647",
            "telephone_number": "414-777-1570",
            "fax_number": "414-777-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 CLARENCE CT",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530958533",
            "telephone_number": "262-338-8611",
            "fax_number": "262-338-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTINGTON",
        "first_name": "SCOTT",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11448-132",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3376-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39789800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Jean Hubbard, OT
• Michelle Ann Hughes, RN
• Humble Living Adult Family Group Home LLC
• Humble Living Home Three
• Humble Living Home Two
• Lori Jill Hussussian
• Courtney Ann Immel, RD, CD
• Independent Physicians of Wisconsin LLC
• Infinity Healthcare Physicians, S.C.
• Inner Peace Counseling and Wellness LLC

• Professional Counselor in West Bend, WI
• Providers in West Bend, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.