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Scott J Waters , LPC

Counselor - Professional β€’ Eugene, OR

Active NPI 1235501388 Individual Practitioner Male Practitioner
Practice location in NPPES

1600 Valley River Dr Ste 103
Eugene, OR 974012141

Call 5039563719 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1600 Valley River Dr Ste 103

Eugene, OR 974012141

Telephone 5039563719
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Springfield, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eugene and Oregon

216 active clinicians are listed under Counselor - Professional with a practice address in Eugene, OR (2,559 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eugene

3.7% of these 216 clinicians have the CMS telehealth indicator.

24.1% of these 216 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR C4911
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES WA MHCA.MC.60501032
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Secondary Practice Locations

380 Q St Ste 250

Springfield, OR 974772147

Phone: 5039563719

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location November 18, 2019

Registered at 1600 VALLEY RIVER DR STE 103, EUGENE, OR 974012141 (Tel: 5039563719)

πŸ‘€
Provider Name / Credentials Updated November 18, 2019

Recorded as SCOTT WATERS, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2019

Counselor (license number reported to NPPES: WA MHCA.MC.60501032)

πŸ“
Updated Practice Location January 03, 2019

Registered at 380 Q ST STE 250, SPRINGFIELD, OR 974772147 (Tel: 5039563719)

πŸ“
Updated Business Mailing Address January 03, 2019

Registered at 465 72ND ST, SPRINGFIELD, OR 974787237 (Tel: 5039563719)

πŸ‘€
Provider Name / Credentials Updated January 03, 2019

Recorded as SCOTT WATERS, MA, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2019

Counselor (license number reported to NPPES: OR C4911)

βœ…
NPI Profile Active October 28, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 28, 2015

Registered at 1104 MAIN ST STE M105, VANCOUVER, WA 986602969 (Tel: 5039563719)

πŸ“
Business Mailing Address (Initial Record) October 28, 2015

Registered at 3604 Q ST, VANCOUVER, WA 986632530 (Tel: 5039563719)

πŸ‘€
Provider Name / Credentials (Initial Record) October 28, 2015

Recorded as SCOTT WATERS, MA, LMHCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2015

Counselor (license number reported to NPPES: WA MHCA.MC.60501032)

🟒
Initial NPI Registration & Enumeration October 28, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235501388
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2015
Last Update: November 18, 2019
Sole Proprietor: Yes

Mailing Address

465 72nd St

Springfield, OR 974787237

Phone: 5039563719

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.