Individual provider Active NPI

Julie Scott, MA, PAT, PPC

  • Mental Health Counselor
  • Rock Springs, WY
National Provider Identifier
1932435617
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
490 Issued in WY
Practice address
2300 Foothill Blvd
Rock Springs, WY 82901-5610
Phone
(307) 352-6615
NPI assigned
Oct 30, 2009
Last updated
Jan 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 042 WY
Mental Health Counselor 101YM0800X 490 WY Primary

Addresses

Primary practice location

2300 Foothill Blvd
Rock Springs, WY 82901-5610

Mailing address

2300 Foothill Blvd
Rock Springs, WY 82901-5610
Phone (307) 352-6615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827004461 WY Practitioner - Mental Health Counselor 1951840578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Southwest Counseling ServiceGroup PAC ID 5890777437, 7 clinicians

Practice addresses (Care Compare)

1124 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
490WYMDMental Health Counselor
042WYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Counseling Service CurrentSince Jun 24, 2024 Accepting new patients
Southwest Counseling Service CurrentSince Jun 24, 2024 Accepting new patients

Locations

1124 College Dr
Rock Springs, WY 82901
Phone (307) 352-6680

2300 Foothill Blvd
Rock Springs, WY 82901
Phone (307) 352-6689

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1932435617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 FOOTHILL BLVD",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015610",
            "telephone_number": "307-352-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 FOOTHILL BLVD",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015610",
            "telephone_number": "307-352-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JULIE",
        "credential": "MA, PAT, PPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "042",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.