Individual provider Active NPI

Scott Matthew Fowler, LPC, LMFT

  • Marriage & Family Therapist
  • Newport News, VA
National Provider Identifier
1962415836
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001125 Issued in VA
Practice address
780 Pilot House Dr
Suite 100a
Newport News, VA 23606-1993
Phone
(757) 223-7821
Fax
(757) 223-9783
NPI assigned
Aug 14, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701003208 VA
Marriage & Family Therapist 106H00000X 0717001125 VA Primary

Addresses

Primary practice location

780 Pilot House Dr
Suite 100a
Newport News, VA 23606-1993

Mailing address

103 Mary Bierbauer Way
Yorktown, VA 23693-2037
Phone (757) 753-8402

Other identifiers 2

IdentifierTypeStateIssuer
010377731MedicaidVA
010370736MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240307003853 VA Practitioner - Marriage and Family Therapist 2466898895 Practice locations: Newport News, VA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Nat Turner Blvd S
Newport News, VA 23606-2898
Phone (757) 753-8402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0717001125VAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1962415836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MARY BIERBAUER WAY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236932037",
            "telephone_number": "757-753-8402",
            "fax_number": "757-223-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 PILOT HOUSE DR",
            "address_2": "SUITE 100A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061993",
            "telephone_number": "757-223-7821",
            "fax_number": "757-223-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "SCOTT",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003208",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010377731",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010370736",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.