MEDICARE: DARYK THOMAS 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	101YM0800X	Mental Health Counselor	LPC.0022641	CO

General Provider Information

NPI Number	:	1487363842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARYK THOMAS SCOTT LPC

Provider Business Mailing Address
First Line	:	6660 DELMONICO DR STE D
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-1961
Country	:	US
Telephone Number	:	970-670-7233
Fax Number	:

Provider Business Practice Location Address
First Line	:	6660 DELMONICO DRIVE STE D # 267
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-1961
Country	:	US
Telephone Number	:	970-670-7233
Fax Number	:

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

Provider Enumeration Date	:	11/15/2022
Last Update Date	:	04/02/2026

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