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

Active since July 25, 2011PECOS EnrolledAccepts Medicare Assignment
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: July 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2024, Jul 21, 2022, May 16, 2017 (3 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 mental health provider in Clackamas, Oregon and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1558649574
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
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
Phone(503) 740-1971
Fax(503) 771-2436
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 25, 2011
Last NPPES UpdateJuly 26, 20253 updates tracked since enumeration
NPPES CertifiedJuly 26, 2025
✔ NPI 1558649574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C1700 (OR)
9123 SE SAINT HELENS ST STE 100F, Clackamas, OR 97015
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11217 NE Burnside Rd Ste 701Gresham, OR 97030-5770 · Phone (503) 740-1971 · Fax (503) 771-2436
Location 23939 NE Hancock St Ste 301Portland, OR 97212-5321 · Phone (503) 740-1971 · Fax (503) 771-2436

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, and ordering and referring status from the CMS PECOS system.

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.

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.

CHAISE GROUP, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015
Clackamas County (503) 740-1971
CHAISE GROUP, LLC
Clinic/Center (Multi-Specialty)
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015
Clackamas County (503) 740-1971
MICHELLE L KRUMMENACKER LCSW
Social Worker (Clinical)
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015
Clackamas County (503) 740-1971
INDEPENCARE LLC
Lodging
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015
Clackamas County (503) 740-6449
PAUL GERARD KRUMMENACKER
Peer Specialist
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015
Clackamas County (503) 740-1971
MS. JENNIFER MARIE SCHNEIDER QMHA-1, CADC-R, NCMA
Counselor (Mental Health)
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015
Clackamas County (503) 740-1971
KAREN E COMFORT
Peer Specialist
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015
Clackamas County (503) 740-1971
DR. NICHOLAS DAVID MORALES PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR 97015
Clackamas County (503) 740-1971

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 Mental Health, with taxonomy code 101YM0800X.

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.

What insurance does Scott Fitzwater 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 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 July 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.