Active NPI
Scott Schenck
- Marriage & Family Therapist
- Clayton, MO
National Provider Identifier
1891391645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4544
- Practice address
- 8000 Bonhomme Ave Ste 413
Clayton, MO 63105-3515 - Phone
- (314) 762-1602
- Fax
- (314) 797-8006
- NPI assigned
- Dec 8, 2020
- Last updated
- May 12, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1436 | NC | |
| Marriage & Family Therapist | 106H00000X | 4544 | SC | Primary |
Addresses
Primary practice location
8000 Bonhomme Ave Ste 413
Clayton, MO 63105-3515
Mailing address
7215 Pershing Ave
University City, MO 63130-4245
Phone (314) 762-1602
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 |
|---|---|---|---|
| 1436 | NC | MD | Physical Therapy Assistant |
| 4544 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conscious Choices Corporation | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Clayton, MO
- NPI 1720574817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1891391645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7215 PERSHING AVE",
"city": "UNIVERSITY CITY",
"state": "MO",
"postal_code": "631304245",
"telephone_number": "314-762-1602",
"fax_number": "314-797-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 BONHOMME AVE STE 413",
"city": "CLAYTON",
"state": "MO",
"postal_code": "631053515",
"telephone_number": "314-762-1602",
"fax_number": "314-797-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHENCK",
"first_name": "SCOTT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-08",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1436",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "4544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.