Counseling Center of Pendelton

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4637 Issued in SC

Legal business name

COUNSELING CENTER OF PENDELTON

Practice address

104 Browns Square Dr
Walhalla, SC 29691-2271

Phone

(864) 812-9400

Fax

(864) 644-2710

NPI assigned

Dec 26, 2014

Last updated

Dec 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Colleen D Goff, LPC

Title

Owner

Phone

(864) 812-9400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1235527326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BROWNS SQUARE DR",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "296912271",
            "telephone_number": "864-812-9400",
            "fax_number": "864-644-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BROWNS SQUARE DR",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "296912271",
            "telephone_number": "864-812-9400",
            "fax_number": "864-644-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER OF PENDELTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-26",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-812-9400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSES NUMBER",
            "identifier": "4637",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Crocker Chiles, RN
• Clemson University
• Clemson University
• Erica C Cleveland, LPC INTERN
• Barbara Cooper, PH.D.
• Kathy Crain
• Michelle Marie Deem, FNP
• Keri Marlene Dickson, FNP
• Youssef George Elaffy, PHARM-D, CGP
• Laura Jane Eld

• Professional Counselor in Walhalla, SC
• Providers in Walhalla, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.