Individual provider Active NPI

Elizabeth G. Scoville, M.S., LPC-MHSP (T)

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1881109957
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4674 Issued in TN
Practice address
805 Bradford Ave
Nashville, TN 37204-2105
Phone
(615) 334-8494
NPI assigned
Dec 11, 2017
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 4674 TN Primary

Addresses

Primary practice location

805 Bradford Ave
Nashville, TN 37204-2105

Mailing address

404 Mercomatic Dr Apt 103
Nashville, TN 37209-3051
Phone (615) 417-3661

Other practice location 1

332 Sumner Hall Dr
Gallatin, TN 37066-3129
Phone (615) 460-4500

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1881109957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MERCOMATIC DR APT 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093051",
            "telephone_number": "615-417-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 BRADFORD AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042105",
            "telephone_number": "615-334-8494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 Sumner Hall Dr",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370663129",
            "country_code": "US",
            "telephone_number": "615-460-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOVILLE",
        "first_name": "ELIZABETH",
        "middle_name": "G.",
        "credential": "M.S., LPC-MHSP (T)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.