Kayla Gail Anthony, MS, LPC, LMHC
Individual provider Active NPI Professional Counselor · Greenville, SC
NPI 1194196576 · NPPES record last updated Jan 3, 2024
Key facts
- NPI
- 1194196576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 9287 (SC)
- Practice address
- 430 Woodruff Rd Ste 450
Greenville, SC 29607-3443 - Phone
- (864) 400-5130
- Fax
- (864) 818-4697
- NPI assigned
- Oct 12, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Upstate Ellie LLC
Practice addresses (Care Compare)
430 Woodruff Rd
Suite 450
Greenville, SC 29607-3443
Phone (864) 400-5130
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240116004438 | SC | Practitioner - Mental Health Counselor | 9739531658 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH15643 | FL | MD | Professional Counselor |
| 9287 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Ellie LLC | Current |
Accepting new patients |
Locations
430 Woodruff Rd
Ste 450
Greenville, SC 29607
Phone (864) 400-5130
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH15643 | FL | |
| Professional Counselor | 101YP2500X | 9287 | SC | Yes |
Addresses
Primary practice location
430 Woodruff Rd Ste 450
Greenville, SC 29607-3443
Mailing address
430 Woodruff Rd Ste 450
Greenville, SC 29607-3443
Phone (864) 400-5130
Other practice location 1
1600 SW Archer Rd
Gainesville, FL 32610-3001
Phone (352) 627-9350
Other providers in Greenville, SC
- Scott Anthony Annett
- Uzoamaka Ifeoma Anosike
- Another Sims Enterprise LLC
- Another Way Counseling, LLC
- Mohammad Tariq Ansari
- Rhonda L Anthony
- Veneeth Antony
- Svetlana Aleksandrovna Antoshuk
- Michael V Antworth
- Chidimma B Anunobi
All providers in Greenville, SC · Professional Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.