Active NPI
Janet Kathleen Scott, LPC
- Professional Counselor
- Statesboro, GA
National Provider Identifier
1982141834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009327
- Practice address
- 116 Hill Pond LN
Statesboro, GA 30458-0872 - Phone
- (912) 489-1629
- Fax
- (912) 489-1630
- NPI assigned
- Jan 30, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC009327 | GA | Primary |
Addresses
Primary practice location
116 Hill Pond LN
Statesboro, GA 30458-0872
Mailing address
116 Hill Pond LN
Statesboro, GA 30458-0872
Phone (912) 489-1629
Other practice location 1
114 Summer Wind Pl
Brooklet, GA 30415-6090
Phone (912) 212-5499
Other practice location 2
27 S Main St
Statesboro, GA 30458-5245
Phone (912) 225-3769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC009327 | Medicaid | GA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC009327 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brave Tomorrow Counseling and Consulting | Past | Accepting new patients | |
| Statesboro Psychiatric Associates | Past | Accepting new patients | |
| Brave Tomorrow Counseling and Consulting | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Statesboro, GA
- NPI 1104287333
-
- Community/Behavioral Health Agency
- Pooler, GA
- NPI 1487437729
-
- Psychiatry Physician
- Statesboro, GA
- NPI 1083830400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1982141834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 HILL POND LN",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304580872",
"telephone_number": "912-489-1629",
"fax_number": "912-489-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 HILL POND LN",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304580872",
"telephone_number": "912-489-1629",
"fax_number": "912-489-1630"
}
],
"practiceLocations": [
{
"address_1": "114 Summer Wind Pl",
"address_purpose": "LOCATION",
"city": "Brooklet",
"state": "GA",
"postal_code": "304156090",
"country_code": "US",
"telephone_number": "912-212-5499",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27 S Main St",
"address_purpose": "LOCATION",
"city": "Statesboro",
"state": "GA",
"postal_code": "304585245",
"country_code": "US",
"telephone_number": "912-225-3769",
"fax_number": "888-241-9172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "JANET",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-30",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LPC009327",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.