Renewed by Grace Therapy

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

RENEWED BY GRACE THERAPY

Practice address

408 N Duncan Byp Ste 9
Union, SC 29379-8663

Phone

(864) 301-5610

NPI assigned

Dec 15, 2025

Organization subpart

No

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

Authorized official

Name

Keisa Green, LPCNPI 1740789957

Title

Therapist/Owner

Phone

(864) 301-5610

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keisa Green, LPC

  • Professional Counselor
  • Spartanburg, SC
  • NPI 1740789957
  NPD Authorized official

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1104780923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ZION CHURCH RD",
            "city": "PACOLET",
            "state": "SC",
            "postal_code": "293722929",
            "telephone_number": "864-301-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N DUNCAN BYP STE 9",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293798663",
            "telephone_number": "864-301-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED BY GRACE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KEISA",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "864-301-5610",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology Consultants of Union, PA
• Tiffanie Randolph
• Regenesis Organization Community Health Center
• Regenesis Organization Community Health Center
• Julmary Mayrin Reichard, LDO 1456
• Morgan Morris Revis, PHARMD
• Alasia Lorane Rice, CACI, NCACI
• Richard R. Poole, O.D.
• Angela Gloria Roberts, OTR/L
• Brianna Roberts

• All providers in Union, SC
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.