Scotty Tilley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

26192 S 229TH PL
Queen Creek, AZ 85142-2398

Phone

(480) 352-5739

NPI assigned

Jun 8, 2023

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

Medicare enrollment (NPD)

Not enrolled

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.

• Aspiring Change, PLLC

  • Professional Counselor
  • Gilbert, AZ
  • NPI 1083237077
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1891489019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26192 S 229TH PL",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422398",
            "telephone_number": "480-352-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26192 S 229TH PL",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422398",
            "telephone_number": "480-352-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "SCOTTY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Thomas, RN
• Karen L Thomas, M.S., CCC-SLP
• Shea Elizabeth Thomas, INTERN
• Ginny Thompson
• Megan Thompson
• Joseph Timbre, O.D.
• Trenton L Tinsley
• Tiny Tots Therapy LLC
• Titans Home Healthcare LLC
• Tom Sowash OD & Associates, PC

• Mental Health Counselor in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.