Active NPI
Allison Groner Wolters, LPC-A
- Professional Counselor
- Greenville, SC
National Provider Identifier
1063147148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7920
- Practice address
- 702 Pettigru St
Greenville, SC 29601-3121 - Phone
- (803) 493-8546
- NPI assigned
- Jul 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7920 | SC | Primary |
Addresses
Primary practice location
702 Pettigru St
Greenville, SC 29601-3121
Mailing address
45 Winstons Chase CT
Landrum, SC 29356-8761
Phone (803) 493-8546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7920 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1063147148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 WINSTONS CHASE CT",
"city": "LANDRUM",
"state": "SC",
"postal_code": "293568761",
"telephone_number": "803-493-8546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 PETTIGRU ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013121",
"telephone_number": "803-493-8546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLTERS",
"first_name": "ALLISON",
"middle_name": "GRONER",
"credential": "LPC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "7920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.