Active NPI
Paige Leigh Gossett, LPC, MS
- Professional Counselor
- Anderson, SC
National Provider Identifier
1053064055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8805
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APC006799 | GA | MD | Mental Health Counselor |
| LPC013592 | GA | MD | Professional Counselor |
| 8805 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling for Life, Inc. | Professional | Current | 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.
-
- Professional Counselor
- Anderson, SC
- NPI 1588954994
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.