Individual provider Active NPI

Scott Passafiume, LPC-S, IAADC, LADAC

  • Mental Health Counselor
  • Hot Springs, AR
National Provider Identifier
1982145660
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P1812156 Issued in AR
Practice address
320 Ouachita Ave Ste 212
Hot Springs, AR 71901-5165
Phone
(501) 445-4545
NPI assigned
Mar 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X P1812156 AR Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 457L AR

Addresses

Primary practice location

320 Ouachita Ave Ste 212
Hot Springs, AR 71901-5165

Mailing address

294 Bonnie Brae St
Hot Springs, AR 71901-8519
Phone (870) 818-1789

Other practice location 1

294 Bonnie Brae St
Hot Springs, AR 71901-8519
Phone (870) 818-1789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20240221001769 AR Practitioner - Mental Health Counselor 6406290162 Practice locations: Hot Springs, AR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 Ouachita Ave
Suite 212
Hot Springs, AR 71901-5165
Phone (501) 455-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
457LARMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spring of Renewal Multi-Specialty PastSince Sep 17, 2023 Accepting new patients
Serenity Park Operations LLC Past Accepting new patients

Organizations & group practices 2

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": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1982145660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 BONNIE BRAE ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018519",
            "telephone_number": "870-818-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 OUACHITA AVE STE 212",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719015165",
            "telephone_number": "501-445-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "294 Bonnie Brae St",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719018519",
            "country_code": "US",
            "telephone_number": "870-818-1789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSAFIUME",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LPC-S, IAADC, LADAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-15",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1812156",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "457L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.