Active NPI
Courtney Watford, MA, ED.S, LPC, CACP
- Professional Counselor
- Spartanburg, SC
National Provider Identifier
1164800447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6170
- Practice address
- 187 W Broad St
Suite 200
Spartanburg, SC 29306-3234 - Phone
- (864) 582-7588
- NPI assigned
- May 7, 2015
- Last updated
- Mar 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 9150 | NC | |
| Professional Counselor | 101YP2500X | 6170 | SC | Primary |
Addresses
Primary practice location
187 W Broad St
Suite 200
Spartanburg, SC 29306-3234
Mailing address
187 W Broad St
Suite 200
Spartanburg, SC 29306-3234
Phone (864) 582-7588
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 |
|---|---|---|---|
| 9150 | NC | MD | General Practice Dentistry |
| 6170 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Physicians Inc | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1164800447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 W BROAD ST",
"address_2": "SUITE 200",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293063234",
"telephone_number": "864-582-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 W BROAD ST",
"address_2": "SUITE 200",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293063234",
"telephone_number": "864-582-7588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATFORD",
"first_name": "COURTNEY",
"credential": "MA, ED.S, LPC, CACP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-07",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "9150",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.