Active NPI
Andrew L Johnston, LPC
- Counselor
- Greenville, SC
National Provider Identifier
1093103376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6883
- Practice address
- 212 Whitsett St
Greenville, SC 29601-3141 - Phone
- (864) 990-4442
- NPI assigned
- Jan 8, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6883 | SC | Primary |
Addresses
Primary practice location
212 Whitsett St
Greenville, SC 29601-3141
Mailing address
407 Dellwood Dr
Greenville, SC 29609-5018
Phone (864) 915-1610
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 |
|---|---|---|---|
| 6883 | SC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Living Clinic LLC | Professional | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1093103376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 DELLWOOD DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296095018",
"telephone_number": "864-915-1610",
"fax_number": "864-565-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 WHITSETT ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013141",
"telephone_number": "864-990-4442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "ANDREW",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-08",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "SC",
"license": "6883",
"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 Dec 14, 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.