Individual provider Active NPI

Matthew Styles Leazer, LPC

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1376138529
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10807 Issued in SC
Practice address
68 Pointe Cir Ste 3201
Greenville, SC 29615-6307
Phone
(803) 403-0294
NPI assigned
Mar 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10807 SC Primary

Addresses

Primary practice location

68 Pointe Cir Ste 3201
Greenville, SC 29615-6307

Mailing address

112 Table Rock Road
Greenville, SC 29636
Phone (828) 460-1541

Other practice location 1

311 Pettigru St
Greenville, SC 29601-3112
Phone (828) 460-1541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • 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
I20250829003966 SC Practitioner - Mental Health Counselor 7719488758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

68 Pointe Cir
Suite 3201
Greenville, SC 29615-6307
Phone (864) 479-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10807SCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jul 9, 2025 Accepting new patients

Locations

68 Pointe Cir
Ste 3201
Greenville, SC 29615
Phone (864) 479-1212

4975 Lacross Rd
Ste 351
North Charleston, SC 29406
Phone (800) 309-1159

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1376138529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 TABLE ROCK ROAD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29636",
            "telephone_number": "828-460-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 POINTE CIR STE 3201",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156307",
            "telephone_number": "803-403-0294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Pettigru St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296013112",
            "country_code": "US",
            "telephone_number": "828-460-1541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAZER",
        "first_name": "MATTHEW",
        "middle_name": "STYLES",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-09",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "10807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.