Individual provider Active NPI

Janet Kathleen Scott, LPC

  • Professional Counselor
  • Statesboro, GA
National Provider Identifier
1982141834
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009327 Issued in GA
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

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LPC009327MedicaidGA

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

LicenseStateTypeSpecialty
LPC009327GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Tomorrow Counseling and Consulting PastSince Aug 2, 2020 Accepting new patients
Statesboro Psychiatric Associates PastSince Mar 12, 2023 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.

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.

Verify at the official NPI Registry.