Active NPI
Cheryl Andrea Scott, LPC
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1972824415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 80319
- Practice address
- 4421 Padre Court
Fort Worth, TX 76244-5821 - Phone
- (682) 459-3094
- Fax
- (817) 423-7384
- NPI assigned
- Jun 18, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC 12 | DC | |
| Professional Counselor | 101YP2500X | 80319 | TX | Primary |
Addresses
Primary practice location
4421 Padre Court
Fort Worth, TX 76244-5821
Mailing address
4421 Padre Court
Fort Worth, TX 76244-5821
Phone (682) 459-3094
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12433222 | Other | CAQH | |
| 3962599 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC 12 | DC | MD | Professional Counselor |
| 80319 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1972824415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4421 PADRE COURT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762445821",
"telephone_number": "682-459-3094",
"fax_number": "817-423-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 PADRE COURT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762445821",
"telephone_number": "682-459-3094",
"fax_number": "817-423-7384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "CHERYL",
"middle_name": "ANDREA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-18",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC 12",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "80319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12433222",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3962599",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.