Healthcare Provider Details

I. General information

NPI: 1184046047
Provider Name (Legal Business Name): SCOTT A TOUGAS LPC, SAP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2014
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 W HARVARD AVE
ROSEBURG OR
97471-2836
US

IV. Provider business mailing address

1221 W HARVARD AVE
ROSEBURG OR
97471-2836
US

V. Phone/Fax

Practice location:
  • Phone: 541-357-8346
  • Fax: 541-833-0857
Mailing address:
  • Phone: 541-357-8346
  • Fax: 541-833-0857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number17-R-29
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC5339
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: