Active NPI
Karen Scott, LCDP
- Addiction (Substance Use Disorder) Counselor
- Pascoag, RI
National Provider Identifier
1902055809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCDP00420
- Practice address
- 2198 Wallum Lake Rd
Pascoag, RI 02859-1813 - Phone
- (401) 568-5284
- NPI assigned
- Sep 16, 2008
- Last updated
- Mar 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDP00420 | RI | Primary |
Addresses
Primary practice location
2198 Wallum Lake Rd
Pascoag, RI 02859-1813
Mailing address
528 N Main St
Providence, RI 02904-5757
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902055809 | Other | RI | UBH |
| KS72798 | Medicaid | RI | |
| 1104847946 | Other | RI | THE PROVIDENCE CENTER NPI |
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 |
|---|---|---|---|
| LCDP00420 | RI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238457600000",
"number": "1902055809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 N MAIN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2198 WALLUM LAKE RD",
"city": "PASCOAG",
"state": "RI",
"postal_code": "028591813",
"telephone_number": "401-568-5284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KAREN",
"credential": "LCDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-16",
"last_updated": "2009-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "LCDP00420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "1902055809",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "KS72798",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE PROVIDENCE CENTER NPI",
"identifier": "1104847946",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pascoag, RI
- Patricia M Raymond, PH.D.
- Rhode Island CVS Pharmacy, L.L.C. (CVS Pharmacy # 01075)
- Patricia Maria Russo-Magno, MD
- Scarlett Santangelo, LCSW
- Lisa Ann Schiffmann, RN
- Patricia Scuncio, PTA
- Khantil R Shah, DMD
- Sabrina Spaziano
- Kimberly Ann St.Andre, RN
- State of Rhode Island and Providence Plantations (East Wallum Lake Group Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.