SCOTT J WATERS LPC
NPI 1235501388
Counselor - Professional in Eugene, OR

Active since October 28, 2015Opted out of Medicare · through Mar 12, 2028
1600 VALLEY RIVER DR STE 103, EUGENE, OR 97401(503) 956-3719 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2019, Jan 3, 2019 (2 updates tracked since 2019).

About Scott J Waters Lpc NPPES

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

SCOTT J WATERS LPC (NPI 1235501388) is an individual professional provider in Eugene, Oregon, licensed in Oregon (C4911) and active in the NPI registry since October 2015. He has opted out of Medicare through March 12, 2028 and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1235501388
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSCOTT J WATERSCredential: LPC
Location Address1600 VALLEY RIVER DR STE 103Eugene, OR 97401-2141
Mailing Address465 72nd StSpringfield, OR 97478-7237 · (503) 956-3719
Sole ProprietorYes
Enumeration DateOctober 28, 2015
Last NPPES UpdateNovember 18, 20192 updates tracked since enumeration
NPI 1235501388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C4911
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MHCA.MC.60501032 (WA)
1600 VALLEY RIVER DR STE 103, Eugene, OR 97401

Secondary Practice Location 1

Location 1380 Q St Ste 250Springfield, OR 97477-2147 · Phone (503) 956-3719

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Scott J Waters Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 12, 2026 through March 12, 2028.

Opt-Out Effective DateMarch 12, 2026
Opt-Out In Effect ThroughMarch 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Waters's NPI number?

The NPI number for Scott Waters is 1235501388. It was assigned to this individual provider in the NPPES registry on October 28, 2015.

Where is Scott Waters located?

Scott Waters practices at 1600 Valley River Dr Ste 103, Eugene, OR 97401. The listed phone number is (503) 956-3719.

What is Scott Waters's specialty?

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

Is Scott Waters enrolled in Medicare?

No. Scott Waters has opted out of Medicare through March 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Scott Waters accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Scott Waters 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 Waters was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.