Provider Demographics
NPI:1790663201
Name:SCOTT, MARI J (PPS, CPLC, CLC)
Entity type:Individual
Prefix:MS
First Name:MARI
Middle Name:J
Last Name:SCOTT
Suffix:
Gender:X
Credentials:PPS, CPLC, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 CAMINO DEL ORO
Mailing Address - Street 2:
Mailing Address - City:RCHO STA MARG
Mailing Address - State:CA
Mailing Address - Zip Code:92688-3165
Mailing Address - Country:US
Mailing Address - Phone:562-708-2182
Mailing Address - Fax:
Practice Address - Street 1:25952 CORDILLERA DR.
Practice Address - Street 2:MENTAL WELLNESS, RM P-3
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691
Practice Address - Country:US
Practice Address - Phone:949-415-8350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No171400000XOther Service ProvidersHealth & Wellness Coach