MR. SCOTT MASHBURN NPI 1710564455

NPI Information

  • NPI: 1710564455
  • Provider Name: MR. SCOTT MASHBURN
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 509 E MILLSAP RD STE 109
    FAYETTEVILLE, AR
    ZIP 72703
  • Phone: (479) 935-2300

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NPI Details

MR. Scott Mashburn is an addiction (substance use disorder) counselor in Fayetteville, AR. MR. Scott Mashburn NPI is 1710564455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

509 E MILLSAP RD STE 109
FAYETTEVILLE, AR
ZIP 72703-862
Phone: (479) 935-2300

The enumeration date for this NPI number is 3/27/2021 and was last updated on 3/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CITARKANSASYes
2101YA0400XCounselorAddiction (Substance Use Disorder)No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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