Organization Active NPI

The Potter's House Family Counseling

  • Pastoral Counselor
  • Easley, SC
National Provider Identifier
1053640664
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Legal business name
THE POTTER'S HOUSE FAMILY COUNSELING
Practice address
312 E 1St Ave
Suite B
Easley, SC 29640-3064
Phone
(864) 850-1777
Fax
(864) 850-1777
NPI assigned
Dec 10, 2009
Last updated
Dec 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
David C Shorter, REVNPI 1003145798
Title
President
Phone
(864) 850-1777

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
Pastoral CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP1600X Primary

Addresses

Primary practice location

312 E 1St Ave
Suite B
Easley, SC 29640-3064

Mailing address

312 E 1St Ave
Suite B
Easley, SC 29640-3064
Phone (864) 850-1777

National Provider Directory

National Provider Directory

Locations

312 E 1st Ave
#B
Easley, SC 29640
Phone (864) 850-1777

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1053640664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E 1ST AVE",
            "address_2": "SUITE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403064",
            "telephone_number": "864-850-1777",
            "fax_number": "864-850-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E 1ST AVE",
            "address_2": "SUITE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403064",
            "telephone_number": "864-850-1777",
            "fax_number": "864-850-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE POTTER'S HOUSE FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "SHORTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-850-1777",
        "authorized_official_credential": "REV"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.