Individual provider Active NPI

Ron L. Stroud, MED, LPC

  • Professional Counselor
  • Summerville, SC
National Provider Identifier
1265505689
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1341 Issued in SC
Practice address
200 E. 5TH North St.
Summerville, SC 29483
Phone
(843) 572-8900
Fax
(843) 569-1663
NPI assigned
Nov 15, 2006
Last updated
Feb 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1341 SC Primary

Addresses

Primary practice location

200 E. 5TH North St.
Summerville, SC 29483

Mailing address

124 White Blvd
Summerville, SC 29483-3026
Phone (843) 442-9417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725000025 MN Practitioner - Mental Health Counselor 5193232189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Affinity Psychological Services PCGroup PAC ID 0749528552, 66 clinicians

Practice addresses (Care Compare)

3400 1St St N
Suite 101
Saint Cloud, MN 56303-1924
Phone (612) 268-5858

7401 Metro Blvd
Suite 250
Edina, MN 55439-3062
Phone (612) 268-5858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1341SCMDSpecialist
4875MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Psychological Services, P.C. CurrentSince Aug 16, 2025 Accepting new patients

Locations

7401 Metro Blvd
Ste 525
Minneapolis, MN 55439

3400 1st St N
Ste 101
Saint Cloud, MN 56303
Phone (320) 202-2000

5775 Wayzata Blvd
Ste 880
St Louis Park, MN 55416

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740268800000",
    "number": "1265505689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WHITE BLVD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294833026",
            "telephone_number": "843-442-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E. 5TH NORTH ST.",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29483",
            "telephone_number": "843-572-8900",
            "fax_number": "843-569-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "RON",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "MED, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "1341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.