MEDICARE: MS. LYNN R SCOTT LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2005009392	MO
2	101YS0200X	School Counselor	0341834	MO

General Provider Information

NPI Number	:	1922203181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LYNN R SCOTT LPC

Provider Business Mailing Address
First Line	:	1507 E HOLIDAY ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-7426
Country	:	US
Telephone Number	:	417-889-5306
Fax Number	:

Provider Business Practice Location Address
First Line	:	1507 E HOLIDAY ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-7426
Country	:	US
Telephone Number	:	417-889-5306
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2007
Last Update Date	:	09/11/2025

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