Upstate Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SC3685 Issued in SC

Legal business name

UPSTATE THERAPY, LLC

Practice address

125 The Parkway
Suite 104
Greenville, SC 29615

Phone

(864) 608-4514

Fax

(864) 627-9770

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Michelle Quartermaine, LPCNPI 1225071848

Title

President

Phone

(864) 608-4514

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Quartermaine, LPC

  • Mental Health Counselor
  • Greenville, SC
  • NPI 1225071848
  NPD (past) Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1316023286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 THE PARKWAY",
            "address_2": "PMB 109",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29650",
            "telephone_number": "864-608-4514",
            "fax_number": "864-627-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 THE PARKWAY",
            "address_2": "SUITE 104",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "telephone_number": "864-608-4514",
            "fax_number": "864-627-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "QUARTERMAINE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-608-4514",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "SC3685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upstate Senior Living, Inc.
• Upstate Specific Chiropractic
• Upstate Speechies, LLC
• Upstate Spine & Sport PC
• Upstate Surgery Center, LLC
• Upstate Theratx LLC
• Upstate Urology and Associates, P.a.
• Upstate Vision Associates LLC
• Upward Change Health Services, LLC
• Urban League of the Upstate, Inc.

• Mental Health Counselor in Greenville, SC
• Providers in Greenville, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.