MEDICARE: SCOTT D HUNTINGTON 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	101YA0400X	Addiction (Substance Use Disorder) Counselor	11448-132	WI
2	101YP2500X	Professional Counselor	3376-125	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841310596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT D HUNTINGTON LPC

Provider Business Mailing Address
First Line	:	6737 W WASHINGTON ST
Second Line	:	SUITE 2210
City	:	WEST ALLIS
State	:	WI
Zip	:	53214-5647
Country	:	US
Telephone Number	:	414-777-1570
Fax Number	:	414-777-1565

Provider Business Practice Location Address
First Line	:	1626 CLARENCE CT
Second Line	:
City	:	WEST BEND
State	:	WI
Zip	:	53095-8533
Country	:	US
Telephone Number	:	262-338-8611
Fax Number	:	262-338-3367

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

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	03/14/2016

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