Organization Active NPI

Anderson Oconee Council on Teen Pregnancy Prevention

Doing business as Impact

  • Counselor
  • Anderson, SC
National Provider Identifier
1063515294
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
ANDERSON OCONEE COUNCIL ON TEEN PREGNANCY PREVENTION
Doing business as
Impact
Practice address
220 McGee Rd
Anderson, SC 29625-2104
Phone
(864) 260-5632
Fax
(864) 260-5664
NPI assigned
Sep 6, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Ms. Stacie Patrice Thompson
Title
Executive Director
Phone
(864) 260-5632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

220 McGee Rd
Anderson, SC 29625-2104

Mailing address

PO Box 2623
Anderson, SC 29622-2623
Phone (864) 260-5632

Other names 1

  • IMPACT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1063515294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2623",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296222623",
            "telephone_number": "864-260-5632",
            "fax_number": "864-260-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MCGEE RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252104",
            "telephone_number": "864-260-5632",
            "fax_number": "864-260-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON OCONEE COUNCIL ON TEEN PREGNANCY PREVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-260-5632",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMPACT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 23, 2008; 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.