Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. SCOTT ELLISON FITZWATER LPC, CADC-III
NPI 1558649574
Counselor - Professional in Clackamas, OR

Active since July 25, 2011PECOS Enrolled
9123 SE SAINT HELENS ST STE 100F, CLACKAMAS, OR 97015(503) 740-1971(503) 771-2436 Get Directions Write a Review

NPPES record last updated: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2026, Nov 19, 2024, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Mr. Scott Ellison Fitzwater Lpc, Cadc-iii NPPES

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

MR. SCOTT ELLISON FITZWATER LPC, CADC-III (NPI 1558649574) is an individual professional provider in Clackamas, Oregon, licensed in Oregon (C1700) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1558649574
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. SCOTT ELLISON FITZWATERCredential: LPC, CADC-III
Location Address9123 SE SAINT HELENS ST STE 100FClackamas, OR 97015-6800
Mailing Address10117 Se Sunnyside Rd # F1217Clackamas, OR 97015-7708 · (503) 740-1971 · Fax (503) 771-2436
Fax(503) 771-2436
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 25, 2011
Last NPPES UpdateNovember 6, 20264 updates tracked since enumeration
NPPES CertifiedNovember 6, 2026
✔ NPI 1558649574 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 · C1700
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 24-11-30132 (OR)
9123 SE SAINT HELENS ST STE 100F, Clackamas, OR 97015

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Scott Ellison Fitzwater Lpc, Cadc-iii is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557865441
PECOS Enrollment IDI20250915003827
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 Fitzwater reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Multi-Specialty
9123 SE SAINT HELENS ST STE 100F
Clackamas, OR 97015
  • Reassigned Medicare billing, Oregon enrollment
  • 6 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 8

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015
Clinic/Center (Multi-Specialty)
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015
Social Worker (Clinical)
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015
Lodging
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015
Counselor (Addiction (Substance Use Disorder))
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015
Peer Specialist
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015
Counselor (Mental Health)
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015
Nurse Practitioner (Psychiatric/Mental Health)
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015

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 Fitzwater's NPI number?

The NPI number for Scott Fitzwater is 1558649574. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Where is Scott Fitzwater located?

Scott Fitzwater practices at 9123 SE Saint Helens St Ste 100F, Clackamas, OR 97015. The listed phone number is (503) 740-1971.

What is Scott Fitzwater's specialty?

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

Is Scott Fitzwater enrolled in Medicare?

Yes. Scott Fitzwater is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Scott Fitzwater's services?

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

What insurance does Scott Fitzwater accept?

Health plans from Moda Health Plan, Inc. list Scott Fitzwater 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 Fitzwater was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.