Active NPI
Tabitha Speaks, M.A.
- Counselor
- Laurens, SC
National Provider Identifier
1164955076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6567
- Practice address
- 123 W Public SQ Ste D
Laurens, SC 29360-2961 - Phone
- (864) 871-9840
- Fax
- (864) 715-1580
- NPI assigned
- Apr 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6567 | SC | Primary |
Addresses
Primary practice location
123 W Public SQ Ste D
Laurens, SC 29360-2961
Mailing address
201 Robinson Rd
Laurens, SC 29360-2183
Phone (864) 682-0589
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 |
|---|---|---|---|
| 6567 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1164955076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 ROBINSON RD",
"city": "LAURENS",
"state": "SC",
"postal_code": "293602183",
"telephone_number": "864-682-0589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W PUBLIC SQ STE D",
"city": "LAURENS",
"state": "SC",
"postal_code": "293602961",
"telephone_number": "864-871-9840",
"fax_number": "864-715-1580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEAKS",
"first_name": "TABITHA",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-07",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "6567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurens, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.