Individual provider Active NPI

Beth Cherish Wilson, LPC

  • Mental Health Counselor
  • Clover, SC
National Provider Identifier
1407993728
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
508 Bethel St
Clover, SC 29710-1154
Phone
(036) 758-2278
Fax
(866) 884-5371
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

508 Bethel St
Clover, SC 29710-1154

Mailing address

508 Bethel St
Clover, SC 29710-1154
Phone (803) 675-8227

Other practice location 1

852 Gold Hill Rd Ste 204
Fort Mill, SC 29708-6965
Phone (803) 228-4038

Other practice location 2

515 Oakland Ave
Rock Hill, SC 29730-3531
Phone (035) 265-2278

Other names 1

  • Beth Cherish Hall Former name

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
I20240919003185 SC Practitioner - Mental Health Counselor 3173868593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

508 Bethel St
Clover, SC 29710-1154
Phone (803) 675-8227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7130SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Roots Psychiatry & Wellness Mental Health Current Accepting new patients
Thrive Family Services Mental Health CurrentSince Jul 6, 2018 Accepting new patients
TFS Rock Hill Mental Health CurrentSince Apr 13, 2025 Accepting new patients
Real Connections Counseling and Wellness LLC Mental Health PastSince Jan 28, 2024 Accepting new patients

Locations

508 Bethel St
Clover, SC 29710
Phone (803) 526-5227

852 Gold Hill Rd
Ste 204
Fort Mill, SC 29708
Phone (803) 228-4038

515 Oakland Ave
Rock Hill, SC 29730
Phone (803) 526-5227

Organizations & group practices 4

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1407993728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 BETHEL ST",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297101154",
            "telephone_number": "803-675-8227",
            "fax_number": "866-884-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 BETHEL ST",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297101154",
            "telephone_number": "036-758-2278",
            "fax_number": "866-884-5371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "852 Gold Hill Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297086965",
            "country_code": "US",
            "telephone_number": "803-228-4038",
            "fax_number": "866-884-5371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Oakland Ave",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297303531",
            "country_code": "US",
            "telephone_number": "035-265-2278",
            "fax_number": "866-884-5371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BETH",
        "middle_name": "CHERISH",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "HALL",
            "middle_name": "CHERISH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clover, SC

Sources for this page

Verify at the official NPI Registry.