Scott Elliott, BCAP, NCAC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ADC-011851-2015 Issued in FL

Practice address

4570 Saint Johns Ave
Jacksonville, FL 32210-1848

Phone

(904) 625-8069

Fax

(866) 575-3780

NPI assigned

Oct 10, 2016

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1902356397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 SAINT JOHNS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101848",
            "telephone_number": "904-625-8069",
            "fax_number": "866-575-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 SAINT JOHNS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101848",
            "telephone_number": "904-625-8069",
            "fax_number": "866-575-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "SCOTT",
        "credential": "BCAP, NCAC II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ADC-011851-2015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elliott, A.R.N.P
• Kimberly Laraine Elliott, PHARMD
• Latoya Nicole Elliott, PSYD
• Leslie Elliott, LMT, CNMT, BAS
• Michelle C Elliott, APRN
• Scott James Elliott, DDS
• William Rudolph Elliott, RPH
• Ellis Pediatrics, PLLC
• Joni A. Ellis-Hughes, RN, BSN, CCRN, CRNI
• Ellis-Moore Coroporation

• Addiction (Substance Use Disorder) Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.