Common Ground Therapeutic and Coaching Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COMMON GROUND THERAPEUTIC AND COACHING SERVICES, LLC

Practice address

2105 N Main St Ste D
Anderson, SC 29621-3872

Phone

(864) 634-0930

Fax

(864) 900-0248

NPI assigned

Jun 15, 2023

Last updated

Jun 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tinisha Pender, LPCNPI 1437616430

Title

Therapist/Owner

Phone

(864) 634-0930

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Tinisha Pender, MA, LPC

  • Mental Health Counselor
  • Anderson, SC
  • NPI 1437616430
  NPD Authorized official

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1053096396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 N MAIN ST STE D",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213872",
            "telephone_number": "864-634-0930",
            "fax_number": "864-900-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 N MAIN ST STE D",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213872",
            "telephone_number": "864-634-0930",
            "fax_number": "864-900-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON GROUND THERAPEUTIC AND COACHING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "PENDER",
        "authorized_official_first_name": "TINISHA",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "864-634-0930",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC2508",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Anderson, SC
• Providers in Anderson, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.