Active NPI
Unmoored Counseling Collective, LLC
- Mental Health Counselor
- Spartanburg, SC
National Provider Identifier
1346984762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- UNMOORED COUNSELING COLLECTIVE, LLC
- Practice address
- 101 N Pine St Ste 210
Spartanburg, SC 29302-1604 - Phone
- (864) 210-3115
- Fax
- (864) 469-5688
- NPI assigned
- Apr 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lizbeth Graffeo, LPC
- Title
- Director/Licensed Professional Coun
- Phone
- (205) 901-1713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
101 N Pine St Ste 210
Spartanburg, SC 29302-1604
Mailing address
101 N Pine St Ste 210
Spartanburg, SC 29302-1604
Phone (864) 210-3115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC1889 | Medicaid | SC |
Other names 1
- Woven Counseling, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650499200000",
"number": "1346984762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N PINE ST STE 210",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293021604",
"telephone_number": "864-210-3115",
"fax_number": "864-469-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N PINE ST STE 210",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293021604",
"telephone_number": "864-210-3115",
"fax_number": "864-469-5688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNMOORED COUNSELING COLLECTIVE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-21",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A",
"authorized_official_last_name": "GRAFFEO",
"authorized_official_first_name": "LIZBETH",
"authorized_official_title_or_position": "DIRECTOR/LICENSED PROFESSIONAL COUN",
"authorized_official_telephone_number": "205-901-1713",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC1889",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Woven Counseling, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.