Organization Active NPI

Addcare Counseling, Inc.

  • Counselor
  • Greenville, SC
National Provider Identifier
1285761650
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
OTO-083 Issued in SC
Legal business name
ADDCARE COUNSELING, INC.
Practice address
413 Vardry Street
#7
Greenville, SC 29601
Phone
(864) 467-1319
Fax
(864) 467-0241
NPI assigned
Feb 27, 2007
Last updated
Jul 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Ms. Angela Tollison Brady, LPCNPI 1720150048
Title
Program Director
Phone
(864) 467-1319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X OTO-083 SC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X OTP-083 SC
Mental Health Counselor 101YM0800X 4357 SC
Professional Counselor 101YP2500X 4357 SC

Addresses

Primary practice location

413 Vardry Street
#7
Greenville, SC 29601

Mailing address

413 Vardry Street
#7
Greenville, SC 29601
Phone (864) 467-1319

National Provider Directory

National Provider Directory

Locations

413 Vardry St
Ste 7
Greenville, SC 29601
Phone (864) 467-1319

721 Lowndes Hill Rd
Ste C
Greenville, SC 29607
Phone (864) 467-1319

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1285761650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 VARDRY STREET",
            "address_2": "#7",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29601",
            "telephone_number": "864-467-1319",
            "fax_number": "864-467-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 VARDRY STREET",
            "address_2": "#7",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29601",
            "telephone_number": "864-467-1319",
            "fax_number": "864-467-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDCARE COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "TOLLISON",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "864-467-1319",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "OTO-083",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "OTP-083",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "4357",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 6, 2022; 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.