Individual provider Active NPI

Elizabeth McGilvery, LPC

  • Mental Health Counselor
  • Charleston, SC
National Provider Identifier
1093477416
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6812 Issued in SC
Practice address
22 Windermere Blvd Ste B
Charleston, SC 29407-7492
Phone
(843) 367-3568
NPI assigned
Oct 13, 2021
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6812 SC Primary

Addresses

Primary practice location

22 Windermere Blvd Ste B
Charleston, SC 29407-7492

Mailing address

2143 Pentland Dr
Charleston, SC 29412-2781
Phone (843) 367-3568

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://liza-mcgilvery.clientsecure.me Direct

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

LicenseStateTypeSpecialty
6812SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1093477416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 PENTLAND DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122781",
            "telephone_number": "843-367-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WINDERMERE BLVD STE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077492",
            "telephone_number": "843-367-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILVERY",
        "first_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://liza-mcgilvery.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Secure Website Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "22 Windermere Blvd Ste B",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294077492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.