Active NPI
Mary Houliston, LPES
- School Psychologist
- Greenville, SC
National Provider Identifier
1265227169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 800 E Washington St Ste K
Greenville, SC 29601-3054 - Phone
- (864) 569-7768
- NPI assigned
- Apr 11, 2025
- Last updated
- Apr 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | NU | Primary |
Addresses
Primary practice location
800 E Washington St Ste K
Greenville, SC 29601-3054
Mailing address
408 Spring Lake Loop
Simpsonville, SC 29681-7232
Phone (407) 579-3967
Other names 1
- Mary Wilcox
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1265227169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 SPRING LAKE LOOP",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296817232",
"telephone_number": "407-579-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E WASHINGTON ST STE K",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013054",
"telephone_number": "864-569-7768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOULISTON",
"first_name": "MARY",
"credential": "LPES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-11",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "WILCOX",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.