Wendy Deanna Scott, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401011820 Issued in MI

Practice address

5555 Conner St Ste 1038
Detroit, MI 48213-3487

Phone

(313) 308-0255

Fax

(313) 308-0270

NPI assigned

Nov 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1922577303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11763 MEADOWS CIR",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481113186",
            "telephone_number": "313-627-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 CONNER ST STE 1038",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133487",
            "telephone_number": "313-308-0255",
            "fax_number": "313-308-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WENDY",
        "middle_name": "DEANNA",
        "name_prefix": "Ms.",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401011820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821120445",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxana Prince Scott, MS, LPC
• Shekyla Nicole Scott, M.D.
• Tasha L Scott, CNM
• Taylor Scott
• Timothy Michael Scott, D.O
• Nicole Scruggs
• Tonya Scruse
• Patrina L Scurlock
• John Michael Sczomak, PHD
• Shawnese Nicole Seales, LLMSW

• Mental Health Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.