Active NPI
Theresa C Allen, M.A., LPC
- Professional Counselor
- Anderson, SC
National Provider Identifier
1124432067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5706
- Practice address
- 2315 N Main St
Ste 211-F
Anderson, SC 29621-3880 - Phone
- (864) 369-5172
- NPI assigned
- Jun 18, 2014
- Last updated
- May 20, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5706 | SC | Primary |
Addresses
Primary practice location
2315 N Main St
Ste 211-F
Anderson, SC 29621-3880
Mailing address
208 Brock Ave
Honea Path, SC 29654-1423
Phone (864) 369-5172
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5706 | SC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1124432067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 BROCK AVE",
"city": "HONEA PATH",
"state": "SC",
"postal_code": "296541423",
"telephone_number": "864-369-5172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 N MAIN ST",
"address_2": "STE 211-F",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296213880",
"telephone_number": "864-369-5172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "THERESA",
"middle_name": "C",
"credential": "M.A., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.