Active NPI
Bethany Charlene Wade, LPC-A
- Professional Counselor
- Greenwood, SC
National Provider Identifier
1336020734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10626
- Practice address
- 1033 Edgefield St
Greenwood, SC 29646-3205 - Phone
- (864) 227-3908
- Fax
- (864) 725-1839
- NPI assigned
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10626 | SC | Primary |
Addresses
Primary practice location
1033 Edgefield St
Greenwood, SC 29646-3205
Mailing address
1033 Edgefield St
Greenwood, SC 29646-3205
Phone (864) 227-3908
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10626 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1336020734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 EDGEFIELD ST",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463205",
"telephone_number": "864-227-3908",
"fax_number": "864-725-1839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 EDGEFIELD ST",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463205",
"telephone_number": "864-227-3908",
"fax_number": "864-725-1839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "BETHANY",
"middle_name": "CHARLENE",
"credential": "LPC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "10626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.