Organization Active NPI

Carolina Center for Counseling & Behavioral Interventions, LLC

  • Mental Health Counselor
  • Simpsonville, SC
National Provider Identifier
1164969317
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4953 Issued in SC
Legal business name
CAROLINA CENTER FOR COUNSELING & BEHAVIORAL INTERVENTIONS, LLC
Practice address
421 SE Main St Ste 201
Simpsonville, SC 29681-2694
Phone
(864) 963-4028
Fax
(864) 963-5960
NPI assigned
Jan 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Mr. Ronald Henry Reames, LPCNPI 1033258538
Title
Owner
Phone
(864) 963-4028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 4953 SC Primary

Addresses

Primary practice location

421 SE Main St Ste 201
Simpsonville, SC 29681-2694

Mailing address

421 SE Main St Ste 201
Simpsonville, SC 29681-2694
Phone (864) 963-4028

National Provider Directory

National Provider Directory

Locations

421 SE Main St
Ste 201
Simpsonville, SC 29681
Phone (864) 915-5772

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1164969317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SE MAIN ST STE 201",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812694",
            "telephone_number": "864-963-4028",
            "fax_number": "864-963-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SE MAIN ST STE 201",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812694",
            "telephone_number": "864-963-4028",
            "fax_number": "864-963-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CENTER FOR COUNSELING & BEHAVIORAL INTERVENTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "REAMES",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-963-4028",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "4953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.

Verify at the official NPI Registry.