Individual provider Active NPI

Laurie E Grove, LPCA, NCC

  • Mental Health Counselor
  • Clover, SC
National Provider Identifier
1356824668
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6258 Issued in SC
Practice address
508 Bethel Street
Clover, SC 29732
Phone
(803) 675-8227
NPI assigned
Sep 12, 2018
Last updated
Sep 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A11821 NC
Mental Health Counselor 101YM0800X 6258 SC Primary

Addresses

Primary practice location

508 Bethel Street
Clover, SC 29732

Mailing address

1393 Spring View CT
Rock Hill, SC 29732-8850
Phone (803) 322-2185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113002309 SC Practitioner - Mental Health Counselor 9638603608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A11821NCMDMental Health Counselor
8757SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Clinical Services Mental Health CurrentSince Aug 27, 2024 Accepting new patients
Real Connections Counseling and Wellness LLC Mental Health Past Accepting new patients
Thrive Family Services Mental Health PastSince Jun 21, 2018 Accepting new patients

Locations

223 E Main St
Ste 304
Rock Hill, SC 29730
Phone (803) 328-1625

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1356824668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 SPRING VIEW CT",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328850",
            "telephone_number": "803-322-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 BETHEL STREET",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-675-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "LAURIE",
        "middle_name": "E",
        "credential": "LPCA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11821",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clover, SC

Sources for this page

Verify at the official NPI Registry.