Individual provider Active NPI

Scott Schenck

  • Marriage & Family Therapist
  • Clayton, MO
National Provider Identifier
1891391645
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4544 Issued in SC
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1436NCMDPhysical Therapy Assistant
4544SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Choices Corporation Marriage & Family Therapist PastSince Dec 1, 2020 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.

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.

Verify at the official NPI Registry.