Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Fred Randolph Scott III

Individual provider Professional Counselor · NPI 1679272090

Dr. Fred Randolph Scott III is a Mental Health Counselor in Suffolk, Virginia. Qualified in 2017, 9 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

208 Republic Ln
Suffolk, VA 23434-1005
Phone: (757) 269-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701012670 (VA)
Professional Counselor Taxonomy 101YP2500X · Licence 0704013358 (VA)

Record details

NPI number1679272090
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 24, 2023
Last updated in NPPESNovember 8, 2023
Certification dateAugust 28, 2023
Mailing addressPo Box 1492, Suffolk, VA 23439-1492

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Suffolk