Active NPI
Agnes Marie Scott, MSW
- Professional Counselor
- Midland, MI
National Provider Identifier
1912278565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6801091971
- Practice address
- 4500 N Campus RDG
Midland, MI 48640-6123 - Phone
- (989) 839-1364
- Fax
- (989) 839-6221
- NPI assigned
- Jan 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6801091971 | MI | Primary |
Addresses
Primary practice location
4500 N Campus RDG
Midland, MI 48640-6123
Mailing address
4500 N Campus RDG
Midland, MI 48640-6123
Phone (989) 839-1364
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 |
|---|---|---|---|
| 6801091971 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1912278565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 N CAMPUS RDG",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406123",
"telephone_number": "989-839-1364",
"fax_number": "989-839-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 N CAMPUS RDG",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406123",
"telephone_number": "989-839-1364",
"fax_number": "989-839-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "AGNES",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-13",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6801091971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.