Individual provider Active NPI

Marie Rose Tajon-Scott, MA

  • Mental Health Counselor
  • San Mateo, CA
National Provider Identifier
1992351803
Registry record updated May 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
140055 Issued in CA
Practice address
100 S Ellsworth Ave Ste 204-1
San Mateo, CA 94401-3932
Phone
(415) 636-8750
Fax
(650) 582-0309
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2025

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 140055 CA Primary

Addresses

Primary practice location

100 S Ellsworth Ave Ste 204-1
San Mateo, CA 94401-3932

Mailing address

2108 N St Ste 5934
Sacramento, CA 95816-5712
Phone (415) 636-8750

Other practice location 1

2108 N St Ste N
Sacramento, CA 95816-5712
Phone (415) 636-8750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251107003225 CA Practitioner - Mental Health Counselor 7911497854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

80 Pine St
FL 21
New York, NY 10005-1700

PO Box
Suite 2349
Pleasant Hill, CA 94523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
140055CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Curiosity Center Professional Clinical Counselor Services PC Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Izzo Marriage & Family Therapy PC PastSince Sep 19, 2024 Accepting new patients

Locations

2108 N St
Sacramento, CA 95816
Phone (951) 719-7050

100 S Ellsworth Ave
Ste 204
San Mateo, CA 94401
Phone (650) 530-0408

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746921600000",
    "number": "1992351803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 N ST STE 5934",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165712",
            "telephone_number": "415-636-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ELLSWORTH AVE STE 204-1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013932",
            "telephone_number": "415-636-8750",
            "fax_number": "650-582-0309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108 N St Ste N",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958165712",
            "country_code": "US",
            "telephone_number": "415-636-8750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAJON-SCOTT",
        "first_name": "MARIE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2025-05-11",
        "certification_date": "2025-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "140055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.