1. Home
  2. Directory
  3. Oregon
  4. Medford
  5. Counselor
  6. NPI Profile

SCOTT WILLISTON MS, QMHP
NPI 1023566858
Counselor - Professional in Medford, OR

Active since September 21, 2016PECOS Enrolled
200 BEATTY ST, MEDFORD, OR 97501(541) 476-3302 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 30, 2021, Sep 21, 2016 (2 updates tracked since 2016).

About Scott Williston Ms, Qmhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT WILLISTON MS, QMHP (NPI 1023566858) is an individual professional provider in Medford, Oregon, licensed in Oregon (C7267) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023566858
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSCOTT WILLISTONCredential: MS, QMHP
Location Address200 BEATTY STMedford, OR 97501-5811
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-3302
Sole ProprietorNo
Enumeration DateSeptember 21, 2016
Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
✔ NPI 1023566858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C7267
200 BEATTY ST, Medford, OR 97501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Williston Ms, Qmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Scott Williston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Options For Southern Oregon
24 mi
Primary Care
1545 HARBECK RD
Grants Pass, OR 97527
  • Reassigned Medicare billing, Oregon enrollment
  • 125 clinicians in this Medicare group
NPI 1952708422 (541) 476-2373

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE LEONIS RN
Registered Nurse
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
GENEVIEVE KLAM M.S.
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
KYLE BRENT ODESHA
Case Manager/Care Coordinator
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
PANDORA MAE HAMSA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
SHELBY JANE HEYER PSS
Peer Specialist
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
MAYUMI OTTMAN QMHA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
KAYLA ROSE RASSON QMHA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
ERIN REAKA QMHA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Williston's NPI number?

The NPI number for Scott Williston is 1023566858. It was assigned to this individual provider in the NPPES registry on September 21, 2016.

Where is Scott Williston located?

Scott Williston practices at 200 Beatty St, Medford, OR 97501. The listed phone number is (541) 476-3302.

What is Scott Williston's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Scott Williston enrolled in Medicare?

Yes. Scott Williston is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Scott Williston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Williston reassigns Medicare benefits to Options For Southern Oregon (Grants Pass, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Williston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Williston accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Scott Williston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott Williston was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.