MR. SCOTT MASHBURN
NPI 1710564455
Counselor - Addiction (Substance Use Disorder) in Fayetteville, AR

Active since March 27, 2021
509 E MILLSAP RD STE 109, FAYETTEVILLE, AR 72703(479) 935-2300 Get Directions Write a Review

NPPES record last updated: March 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Scott Mashburn NPPES

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

MR. SCOTT MASHBURN (NPI 1710564455) is an individual addiction (substance use disorder) provider in Fayetteville, Arkansas, licensed in Arkansas (CIT) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1710564455
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. SCOTT MASHBURN
Location Address509 E MILLSAP RD STE 109Fayetteville, AR 72703-4862
Mailing Address509 E Millsap Rd Ste 109Fayetteville, AR 72703-4862 · (479) 935-2300
Sole ProprietorYes
Enumeration DateMarch 27, 2021
NPPES CertifiedMarch 27, 2021
NPI 1710564455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in AR · CIT
509 E MILLSAP RD STE 109, Fayetteville, AR 72703

Other Providers at the Same Location NPPES

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

Pain Medicine (Interventional Pain Medicine)
509 E MILLSAP RD STE 109
FAYETTEVILLE, AR 72703

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 Mashburn's NPI number?

The NPI number for Scott Mashburn is 1710564455. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Where is Scott Mashburn located?

Scott Mashburn practices at 509 E Millsap Rd Ste 109, Fayetteville, AR 72703. The listed phone number is (479) 935-2300.

What is Scott Mashburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Scott Mashburn was last updated on March 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.