NPIMap

Organization Active NPI

Therapy Group, LLC

  • Clinical Social Worker
  • Hilton Head Island, SC
National Provider Identifier
1407317795
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THERAPY GROUP, LLC
Practice address
1555 Fording Island Rd Ste C1
Hilton Head Island, SC 29926-1176
Phone
(985) 212-2491
NPI assigned
Mar 28, 2019
Last updated
Mar 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Ellen Lam
Title
Agent
Phone
(843) 815-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1555 Fording Island Rd Ste C1
Hilton Head Island, SC 29926-1176

Mailing address

20 Towne Dr Ste 216
Bluffton, SC 29910-4204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190523000466 SC Part B Supplier - Clinic/Group Practice 8123361730 Receives reassigned benefits from 12 practitioners
Practice locations: Hilton Head Island, SC

National Provider Directory

National Provider Directory

Locations

1555 Fording Island Rd
Ste C
Hilton Head Island, SC 29926

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1407317795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TOWNE DR STE 216",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 FORDING ISLAND RD STE C1",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261176",
            "telephone_number": "985-212-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "843-815-1234"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.