Active NPI
Nicole Trista Guttermuth, MA, MED, NCC, LPC
- Professional Counselor
- Easley, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7473
- Practice address
- 903 Crestview Rd
Easley, SC 29642-3202 - Phone
- (864) 270-9362
- NPI assigned
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7473 | SC | Primary |
| Mental Health Counselor | 101YM0800X | 068.0136101 | VT |
Addresses
Primary practice location
903 Crestview Rd
Easley, SC 29642-3202
Mailing address
903 Crestview Rd
Easley, SC 29642-3202
Phone (864) 270-9362
Other practice location 1
808 Powdersville Rd Ste 11
Easley, SC 29642-1968
Phone (864) 668-3167
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7473 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Counseling Center PC | Mental Health | Current | Accepting new patients |
| Infinite Hope Counseling, LLC | Professional | Current | Accepting new patients |
| Myrtle Beach Counseling Center | Mental Health | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
30 Patewood Dr
Ste 160
Greenville, SC 29615
Phone (864) 455-5777
871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Mount Pleasant, SC
- NPI 1316375678
-
- Professional Counselor
- Easley, SC
- NPI 1760215651
-
- Mental Health Counselor
- Myrtle Beach, SC
- NPI 1235784661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1396313052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 CRESTVIEW RD",
"city": "EASLEY",
"state": "SC",
"postal_code": "296423202",
"telephone_number": "864-270-9362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 CRESTVIEW RD",
"city": "EASLEY",
"state": "SC",
"postal_code": "296423202",
"telephone_number": "864-270-9362"
}
],
"practiceLocations": [
{
"address_1": "808 Powdersville Rd Ste 11",
"address_purpose": "LOCATION",
"city": "Easley",
"state": "SC",
"postal_code": "296421968",
"country_code": "US",
"telephone_number": "864-668-3167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTTERMUTH",
"first_name": "NICOLE",
"middle_name": "TRISTA",
"name_prefix": "Ms.",
"credential": "MA, MED, NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-17",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "7473",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0136101",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.