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MR. JEFFERY L SCOTT LCSW
NPI 1396167276
Counselor - Mental Health in Salt Lake City, UT

Active since January 13, 2014Opted out of Medicare · through Apr 1, 2027
1332 E HARRISON AVE, SALT LAKE CITY, UT 84105(801) 792-9638 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeffery L Scott Lcsw NPPES

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

MR. JEFFERY L SCOTT LCSW (NPI 1396167276) is an individual mental health provider in Salt Lake City, Utah, licensed in Utah (8943100-3501) and active in the NPI registry since January 2014. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396167276
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JEFFERY L SCOTTCredential: LCSW
Location Address1332 E HARRISON AVESalt Lake City, UT 84105-2610
Mailing Address1332 E Harrison AveSalt Lake City, UT 84105-2610 · (801) 792-9638
Phone(801) 792-9638
Sole ProprietorYes
Enumeration DateJanuary 13, 2014
Last NPPES UpdateNovember 29, 2016
✔ NPI 1396167276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in UT · 8943100-3501
1332 E HARRISON AVE, Salt Lake City, UT 84105
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Other Names 1

Professional Name (2)Mr. Jeffery L Scott Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jeffery L Scott Lcsw 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 April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Jeffery Scott's NPI number?

The NPI number for Jeffery Scott is 1396167276. It was assigned to this individual provider in the NPPES registry on January 13, 2014. The provider is also known as Mr. Jeffery L Scott Lcsw.

Where is Jeffery Scott located?

Jeffery Scott practices at 1332 E Harrison Ave, Salt Lake City, UT 84105. The listed phone number is (801) 792-9638.

What is Jeffery Scott's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jeffery Scott enrolled in Medicare?

No. Jeffery Scott has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeffery Scott was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.