Organization Active NPI

Sacred Heart Therapeutic Services

  • Mental Health Counselor
  • Greenville, SC
National Provider Identifier
1033763982
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SACRED HEART THERAPEUTIC SERVICES
Practice address
501 W. Butler Rd
Suite E
Greenville, SC 29607
Phone
(864) 346-8530
Fax
(864) 751-5268
NPI assigned
Jul 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Ingrid Bowling, LPCNPI 1699784140
Title
Owner / Therapist
Phone
(864) 346-8530

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

501 W. Butler Rd
Suite E
Greenville, SC 29607

Mailing address

105 Challenger CT
Mauldin, SC 29662-2452
Phone (864) 346-8530

Other identifiers 1

IdentifierTypeStateIssuer
7185OtherSCPROFESSIONAL LICENSE- COUNSELOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Honeapath

National Provider Directory

National Provider Directory

Locations

501 W Butler Rd
Ste E
Greenville, SC 29607
Phone (864) 326-0004

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": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1033763982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHALLENGER CT",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622452",
            "telephone_number": "864-346-8530",
            "fax_number": "800-340-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W. BUTLER RD",
            "address_2": "SUITE E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-346-8530",
            "fax_number": "864-751-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "OWNER / THERAPIST",
        "authorized_official_telephone_number": "864-346-8530",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE- COUNSELOR",
            "identifier": "7185",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Honeapath",
            "affiliation": "N",
            "address_1": "105 Challenger Ct",
            "city": "Mauldin",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296622452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.