CLARKE SCOTT MA, LAC
NPI 1417404740
Counselor - Professional in Phoenix, AZ

Active since September 02, 2016PECOS Enrolled
1016 N 1ST DR UNIT 148B, PHOENIX, AZ 85003(303) 504-7751 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2025, Feb 25, 2022, Sep 2, 2016 (3 updates tracked since 2016).

About Clarke Scott Ma, Lac NPPES

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

CLARKE SCOTT MA, LAC (NPI 1417404740) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (20773) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1417404740
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCLARKE SCOTTCredential: MA, LAC
Location Address1016 N 1ST DR UNIT 148BPhoenix, AZ 85003-1455
Mailing Address1016 N 1st Dr Unit 148bPhoenix, AZ 85003-1455
Sole ProprietorNo
Enumeration DateSeptember 2, 2016
Last NPPES UpdateJune 2, 20253 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1417404740 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 AZ · 20773
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LAC18441 (AZ)
1016 N 1ST DR UNIT 148B, Phoenix, AZ 85003

Secondary Practice Location 1

Location 1340 E Palm Ln Ste 255Phoenix, AZ 85004-4604 · Phone (602) 918-3664 · Fax (480) 681-1916

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarke Scott Ma, Lac 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 Clarke Scott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adult Mental Health
1016 N 1ST DR UNIT 148B
Phoenix, AZ 85003
  • Reassigned Medicare billing, Arizona enrollment
  • 8 clinicians in this Medicare group

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

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

Clinic/Center (Adult Mental Health)
1016 N 1ST DR UNIT 148B
PHOENIX, AZ 85003

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 Clarke Scott's NPI number?

The NPI number for Clarke Scott is 1417404740. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Where is Clarke Scott located?

Clarke Scott practices at 1016 N 1st Dr Unit 148B, Phoenix, AZ 85003. The listed phone number is (303) 504-7751.

What is Clarke Scott's specialty?

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

Is Clarke Scott enrolled in Medicare?

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

Which organization bills Medicare for Clarke Scott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clarke Scott reassigns Medicare benefits to Clarke Scott Counseling, LLC (Phoenix, AZ). 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 Clarke Scott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clarke Scott accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Clarke Scott 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 Clarke Scott was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.