Active NPI
Pettigru Counseling Associates
- Counseling Psychologist
- Greenville, SC
National Provider Identifier
1083777916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Legal business name
- PETTIGRU COUNSELING ASSOCIATES
- Practice address
- 405 Pettigru St
Greenville, SC 29601-3114 - Phone
- (864) 271-3549
- Fax
- (864) 271-8282
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cindy Marks, PH.D.
- Title
- Treasurer
- Phone
- (864) 271-3549
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
405 Pettigru St
Greenville, SC 29601-3114
Mailing address
405 Pettigru St
Greenville, SC 29601-3114
Phone (864) 271-3549
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083777916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 PETTIGRU ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013114",
"telephone_number": "864-271-3549",
"fax_number": "864-271-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 PETTIGRU ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013114",
"telephone_number": "864-271-3549",
"fax_number": "864-271-8282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETTIGRU COUNSELING ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARKS",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "864-271-3549",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.