Provider Demographics
NPI:1184046047
Name:TOUGAS, SCOTT A (LPC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:A
Last Name:TOUGAS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2288 KERR ST
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-5444
Mailing Address - Country:US
Mailing Address - Phone:541-357-8346
Mailing Address - Fax:
Practice Address - Street 1:753 SE MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-3985
Practice Address - Country:US
Practice Address - Phone:541-357-8346
Practice Address - Fax:541-833-0857
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR17-R-29101YA0400X, 101YA0400X
ORC5339101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500730792Medicaid
LA600746140Medicaid