Organization Active NPI

Upstate Treatment Specialists LLC

  • Methadone Clinic
  • Spartanburg, SC
National Provider Identifier
1235909367
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
UPSTATE TREATMENT SPECIALISTS LLC
Practice address
7092 Howard St
Unit E
Spartanburg, SC 29303
Phone
(864) 616-5031
Fax
(864) 407-4155
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Amy Marie Nieman
Title
Director of Payer Credentialing
Phone
(513) 544-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

7092 Howard St
Unit E
Spartanburg, SC 29303

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (864) 616-5031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Opioid treatment program
Medicare-enrolled since May 17, 2025

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250728003275 SC Part B Supplier - Opioid Treatment Program (Otp) 8224545934 Practice locations: Spartanburg, SC

National Provider Directory

National Provider Directory

Locations

7092 Howard St
Ste E
Spartanburg, SC 29303
Phone (864) 335-6910

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": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1235909367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "864-616-5031",
            "fax_number": "864-407-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7092 HOWARD ST",
            "address_2": "UNIT E",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29303",
            "telephone_number": "864-616-5031",
            "fax_number": "864-407-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE TREATMENT SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "NIEMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER CREDENTIALING",
        "authorized_official_telephone_number": "513-544-1003"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.