Celisa Ann Patterson, MA, ADC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8924 Issued in SC

Practice address

37 Villa Rd Ste 206
Greenville, SC 29615-3040

Phone

(864) 729-3081

NPI assigned

Feb 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Agape Transformation Counseling, LLC

  • Professional Counselor
  • Greenville, SC
  • NPI 1992511042
  NPD Authorized official

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1275072316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 REDWOOD DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296429027",
            "telephone_number": "864-729-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 VILLA RD STE 206",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153040",
            "telephone_number": "864-729-3081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Redwood Dr",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296429027",
            "country_code": "US",
            "telephone_number": "864-729-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "CELISA",
        "middle_name": "ANN",
        "credential": "MA, ADC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8924",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "8924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Patrick, DC
• Richard Patrick Jr.
• Patriotmed of Kansas, P.a.
• Ashley Ve'Angela Patten, FNP-C
• Ann Marie Patterson Ravindran, M.D.
• Doreen Parrenas Patterson, M.D.
• Jennifer Patterson
• Melanie Patterson
• Natalie Wright Patterson, LPCA
• Scotlyn Patterson

• Professional Counselor in Greenville, SC
• Providers in Greenville, 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 Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.