Adam James Scholl, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

076218-1 Issued in NY

Practice address

318 N Aurora St
Ithaca, NY 14850-4274

Phone

(607) 342-4403

Fax

(607) 391-0162

NPI assigned

Sep 23, 2016

Last updated

Jul 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tompkins Community Counseling, LCSW, PLLC

  • Mental Health Counselor
  • Ithaca, NY
  • NPI 1952908113
  NPD Authorized official

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1871042416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N AURORA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504274",
            "telephone_number": "607-342-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N AURORA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504274",
            "telephone_number": "607-342-4403",
            "fax_number": "607-391-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLL",
        "first_name": "ADAM",
        "middle_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-23",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "076218-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Charles Schloupt Jr.
• Oskar Schmidt, LMT
• Cynthia Schnedeker, NP
• Thomas Phillips Schneider, LCSW
• Maricela Schnur, MD
• Mark Joseph Scholl, D.C.
• Susanne Janene Scholten
• Ronald H Schoneman, CASAC(NYS), MAC (NAT
• Chloe Schroeder
• Ashleigh L Schultz, OTR/L

• Mental Health Counselor in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.