Organization Active NPI

Pluff Mud Counseling LLC

  • Marriage & Family Therapist
  • Charleston, SC
National Provider Identifier
1013351105
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PLUFF MUD COUNSELING LLC
Practice address
896 Kushiwah Creek Dr
Charleston, SC 29412-4410
Phone
(843) 259-0591
Fax
(843) 769-7288
NPI assigned
Apr 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William T Reynolds Jr., MAMFTNPI 1568806651
Title
Owner
Phone
(843) 259-0591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X SC Primary

Addresses

Primary practice location

896 Kushiwah Creek Dr
Charleston, SC 29412-4410

Mailing address

3012 Allison Cove Dr
Charleston, SC 29412-4971
Phone (843) 259-0591

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1013351105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 ALLISON COVE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124971",
            "telephone_number": "843-259-0591",
            "fax_number": "843-769-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 KUSHIWAH CREEK DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124410",
            "telephone_number": "843-259-0591",
            "fax_number": "843-769-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUFF MUD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-259-0591",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MAMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.