Individual provider Active NPI

Scot Wilson, MS, LCMHC

  • Mental Health Counselor
  • Concord, NH
National Provider Identifier
1972014876
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2001 Issued in NH
Practice address
6 S State St Ste 2
Concord, NH 03301-3700
Phone
(603) 228-3862
NPI assigned
Oct 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2001 NH Primary

Addresses

Primary practice location

6 S State St Ste 2
Concord, NH 03301-3700

Mailing address

PO Box 4041
Concord, NH 03302-4041
Phone (603) 781-2785

Other practice location 1

43 Garland Rd
Nottingham, NH 03290-6106
Phone (603) 781-2785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2001NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Enso Counseling Group, PLLC Mental Health CurrentSince Dec 6, 2020 Accepting new patients

Locations

1 Barberry Ln
Concord, NH 03301
Phone (617) 207-6684

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1972014876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4041",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033024041",
            "telephone_number": "603-781-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S STATE ST STE 2",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013700",
            "telephone_number": "603-228-3862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Garland Rd",
            "address_purpose": "LOCATION",
            "city": "Nottingham",
            "state": "NH",
            "postal_code": "032906106",
            "country_code": "US",
            "telephone_number": "603-781-2785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SCOT",
        "credential": "MS, LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-18",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.