Active NPI
Kevin Irmiter, PH.D.
- Counseling Psychologist
- Greenville, SC
National Provider Identifier
1083950950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 839
- Practice address
- 41 Park Creek Dr
Greenville, SC 29605-4270 - Phone
- (864) 299-1600
- NPI assigned
- Dec 21, 2012
- Last updated
- Mar 23, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 839 | SC | Primary |
Addresses
Primary practice location
41 Park Creek Dr
Greenville, SC 29605-4270
Mailing address
251 Highgate Cir
Greer, SC 29650-4766
Phone (864) 879-0398
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 839 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Vamc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Department of Veterans Affairs (VA) Pharmacy
- Greenville, SC
- NPI 1265490155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1083950950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 HIGHGATE CIR",
"city": "GREER",
"state": "SC",
"postal_code": "296504766",
"telephone_number": "864-879-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 PARK CREEK DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054270",
"telephone_number": "864-299-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRMITER",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-21",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "SC",
"license": "839",
"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 Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.