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

Scott Fisk, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1962207407

Scott Fisk, LADC is a Mental Health Counselor in Coon Rapids, Minnesota. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2025
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

11367 Quince St NW
Coon Rapids, MN 55448-3246
Phone: (763) 614-8381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 304279 (MN)

Record details

NPI number1962207407
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC
Sole proprietorYes
NPI enumeratedFebruary 18, 2025
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

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 Not indicated
Practice locations2 on file with Medicare

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