Individual provider Active NPI

Paige Leigh Gossett, LPC, MS

  • Professional Counselor
  • Anderson, SC
National Provider Identifier
1053064055
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8805 Issued in SC
Practice address
1209 N Fant St
Anderson, SC 29621-4821
Phone
(864) 353-3384
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC006799 GA
Professional Counselor 101YP2500X LPC013592 GA
Professional Counselor 101YP2500X 8805 SC Primary

Addresses

Primary practice location

1209 N Fant St
Anderson, SC 29621-4821

Mailing address

220 Lebanon Rd
Pendleton, SC 29670-1924
Phone (770) 570-0043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030002076 SC Practitioner - Mental Health Counselor 6002349941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling for Life IncGroup PAC ID 8426490426, 12 clinicians

Practice addresses (Care Compare)

125 Muddy Toes Dr
Anderson, SC 29626-5349
Phone (864) 353-3384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
APC006799GAMDMental Health Counselor
LPC013592GAMDProfessional Counselor
8805SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling for Life, Inc. Professional CurrentSince Oct 8, 2024 Accepting new patients

Locations

1209 N Fant St
Anderson, SC 29621
Phone (864) 353-3384

125 Muddy Toes Dr
Anderson, SC 29626
Phone (864) 353-3384

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1053064055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LEBANON RD",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296701924",
            "telephone_number": "770-570-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214821",
            "telephone_number": "864-353-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSETT",
        "first_name": "PAIGE",
        "middle_name": "LEIGH",
        "credential": "LPC, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC006799",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013592",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.