John Ray Addison, LPC
Individual provider Active NPI Professional Counselor · Seneca, SC
NPI 1043589997 · NPPES record last updated Dec 21, 2011
Key facts
- NPI
- 1043589997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1844 (SC)
- Practice address
- 530 By Pass 123
Suite E2
Seneca, SC 29678-0859 - Phone
- (864) 882-7600
- Fax
- (864) 882-7631
- NPI assigned
- Dec 21, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Counseling Center J. Ray Addison PH.D. PRT Et Al | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1844 | SC | Yes |
Addresses
Primary practice location
530 By Pass 123
Suite E2
Seneca, SC 29678-0859
Mailing address
PO Box 1105
Clemson, SC 29633-1105
Phone (864) 882-7600
Other providers in Seneca, SC
- Accuquest Hearing Center, LLC
- Samantha Nicole Acevedo
- Cynthia Burnett Adams
- Kaylee Hannah Adams
- Nathaniel Bradley Adams
- Omotola Aduke Adebayo
- Sadiksha Adhikari
- Donna Lee Adkins
- Advanced Prosthetics of Seneca, Inc.
- Hashim Syed Ahmed
All providers in Seneca, SC · Professional Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.