Organization Active NPI

Unmoored Counseling Collective, LLC

  • Mental Health Counselor
  • Spartanburg, SC
National Provider Identifier
1346984762
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Apr 21, 2022

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PC1889MedicaidSC

Other names 1

  • Woven Counseling, LLC Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.