SCOTT C WASHBURN (LADC) – Addiction (Substance Use Disorder) Counselor, NPI 1093856502

SCOTT C WASHBURN (LADC) is a healthcare provider. based in Minnetonka, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LADC. They hold a License No. 301189 (MN). The NPI Number for SCOTT C WASHBURN (LADC) is 1093856502

Main info

Male
31 Years Of Experience
Name
SCOTT C WASHBURN (LADC)
NPI
1093856502
Phone
(952) 932-7277
Address
15320 MINNETONKA BLVD #200
Enumeration Date
8 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
7911480561
Professional Enrollment ID
I20260311002920
Address ID
MN554343911BL11925NEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for SCOTT C WASHBURN (LADC)

  • 15320 MINNETONKA BLVD #200

    MINNETONKA, MN 55345

    Phone: (952) 932-7277

    Fax: (952) 932-9827

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260311002920IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55345)

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Reviews

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Frequently asked questions

Is SCOTT C WASHBURN (LADC) listed with a National Provider Identifier?
Yes — SCOTT C WASHBURN (LADC) has NPI 1093856502 on file in the registry.
Active or inactive — what applies to SCOTT C WASHBURN (LADC)?
You should see SCOTT C WASHBURN (LADC) as active in CMS-hosted NPPES data.
What area of care is associated with SCOTT C WASHBURN (LADC)?
SCOTT C WASHBURN (LADC)'s record emphasizes Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where in Minnesota is SCOTT C WASHBURN (LADC) registered?
Use Minnetonka, Minnesota as the headline location for SCOTT C WASHBURN (LADC) here.
When was this NPI issued?
Enumeration for SCOTT C WASHBURN (LADC) is noted as February 8, 2007 where the registry provides it.

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