Organization Active NPI

Shaping Lives Counseling LLC

  • Mental Health Counselor
  • Seneca, SC
National Provider Identifier
1013488311
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SHAPING LIVES COUNSELING LLC
Practice address
800 Whitworth Cir Ste C
Seneca, SC 29672-9432
Phone
(864) 539-5170
Fax
(844) 612-1252
NPI assigned
Dec 12, 2018
Last updated
Dec 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Authorized official

Name
Mrs. Holly Lee Partin, LPCNPI 1023122082
Title
Licensed Professional Counselor
Phone
(864) 539-5170

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

800 Whitworth Cir Ste C
Seneca, SC 29672-9432

Mailing address

PO Box 946
Seneca, SC 29679-0946
Phone (864) 539-5170

Other identifiers 1

IdentifierTypeStateIssuer
PC1602MedicaidSC

National Provider Directory

National Provider Directory

Locations

800 Whitworth Cir
#C
Seneca, SC 29672
Phone (864) 539-5170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1544572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1013488311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 946",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296790946",
            "telephone_number": "864-539-5170",
            "fax_number": "844-612-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WHITWORTH CIR STE C",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729432",
            "telephone_number": "864-539-5170",
            "fax_number": "844-612-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPING LIVES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-12",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "PARTIN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "864-539-5170",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1602",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.