Mitchel John Dawes, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9187 Issued in SC

Practice address

240 N Grove Medical Park Dr
Spartanburg, SC 29303-4222

Phone

(864) 310-6881

Fax

(864) 699-6386

NPI assigned

Jan 4, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Foothills Pediatric Dentistry, PA

  • Pediatric Dentistry
  • Spartanburg, SC
  • NPI 1891938973
  NPD

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1386414043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 WHITESTONE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293025323",
            "telephone_number": "864-494-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N GROVE MEDICAL PARK DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034222",
            "telephone_number": "864-310-6881",
            "fax_number": "864-699-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWES",
        "first_name": "MITCHEL",
        "middle_name": "JOHN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Christopher Davis, MD
• Skylar K Davis, PA
• Stacy Marshall Davis, MACC, LPC
• Wendell Davis
• Wendy Blackley Davis, LMSW
• Melissa L Dawicki, M.S., LPC, NCC
• John V Dawidowicz, D.C.
• Alexis Dawkins, MSW
• Avis Wheeler Dawkins, MSP, CCC
• Jaqueria Dawkins, BS

• Mental Health Counselor in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.