Organization Active NPI

Gravity Counseling Group

  • Community/Behavioral Health Agency
  • Greenwood, SC
National Provider Identifier
1336568765
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRAVITY COUNSELING GROUP
Practice address
104 Maxwell Ave Ste 219
Greenwood, SC 29646-2641
Phone
(864) 724-9187
Fax
(864) 448-1559
NPI assigned
Apr 14, 2014
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Mr. Kervin Searles, LPCNPI 1629653985
Title
Ceo
Phone
(864) 321-0108

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

104 Maxwell Ave Ste 219
Greenwood, SC 29646-2641

Mailing address

945 Sunset Dr
Greenwood, SC 29646-1807
Phone (864) 724-9187

Other identifiers 1

IdentifierTypeStateIssuer
PC2407MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250501002566 SC Part B Supplier - Clinic/Group Practice 5799201877 Receives reassigned benefits from 2 practitioners
Practice locations: Greenwood, SC

National Provider Directory

National Provider Directory

Locations

104 Maxwell Ave
Ste 219
Greenwood, SC 29646
Phone (864) 724-9187

210 Birchtree Dr
Greenwood, SC 29649

Practitioners & affiliated clinicians

Practitioners 2

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": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1336568765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 SUNSET DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296461807",
            "telephone_number": "864-724-9187",
            "fax_number": "864-448-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAXWELL AVE STE 219",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462641",
            "telephone_number": "864-724-9187",
            "fax_number": "864-448-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVITY COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "SEARLES",
        "authorized_official_first_name": "KERVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-321-0108",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC2407",
            "state": "SC"
        }
    ],
    "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 Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.