Emily Park Gilliam, LPC, CRADC, CODP II

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7180 Issued in SC

Practice address

950 Laurelwood Way
Landrum, SC 29356-8757

Phone

(773) 936-5666

NPI assigned

Sep 8, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tapestry Counseling

  • Adult Mental Health Clinic/Center
  • Greenville, SC
  • NPI 1518538206
  NPD Authorized official

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1104373992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 LAURELWOOD WAY",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293568757",
            "telephone_number": "773-936-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 LAURELWOOD WAY",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293568757",
            "telephone_number": "773-936-5666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Main St",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600684059",
            "country_code": "US",
            "telephone_number": "773-936-5666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "EMILY",
        "middle_name": "PARK",
        "credential": "LPC, CRADC, CODP II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178012431",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Fincher, PT
• Karen Frederick, PT, DPT
• Jenifer Leigh Gault, LMFT
• Chelsea Danielle Gentry, BCBA
• Rori Delaram Ghahreman
• Anna Gilman, BCBA
• Jamie Hall
• Linda F Hembree, MA, CCC-SLP
• Amber Hendricks
• Lily Hill, OTR/L

• All providers in Landrum, SC
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.