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

Mr. Scott Ellison Fitzwater, LPCCADCIII

Individual provider Professional Counselor · NPI 1558649574

Mr. Scott Ellison Fitzwater, LPCCADCIII is a Mental Health Counselor in Clackamas, Oregon. Qualified in 1999, 27 years ago. Practices with Chaise Group LLC, a 6-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
27
Licensed in
OR
In the registry since
2011
Specialties on file
3

Practice location Address checks out

9123 SE Saint Helens St Ste 100F
Clackamas, OR 97015-6800
Phone: (503) 740-1971
Fax: (503) 771-2436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1217 Ne Burnside Rd Ste 701, Gresham, OR 97030-5770 — (503) 740-1971
  • 3939 Ne Hancock St Ste 301, Portland, OR 97212-5321 — (503) 740-1971

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X · Licence C1700 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1558649574
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCCADCIII
Sole proprietorNo
NPI enumeratedJuly 25, 2011
Last updated in NPPESJuly 26, 2025
Certification dateJuly 26, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Chaise Group Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clackamas