Organization Active NPI

Sacred Grove Counseling & Healing Services, LLC

  • Community/Behavioral Health Agency
  • Lexington, SC
National Provider Identifier
1417601980
Registry record updated Feb 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SACRED GROVE COUNSELING & HEALING SERVICES, LLC
Practice address
114 N Church St
Lexington, SC 29072-2808
Phone
(803) 210-7422
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2022

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

Authorized official

Name
Dr. Wenndy Dupkoski, PHD, LPC-S, LPC, NCCNPI 1306908306
Title
Counselor
Phone
(803) 210-7422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

114 N Church St
Lexington, SC 29072-2808

Mailing address

114 N Church St
Lexington, SC 29072-2808

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644105600000",
    "number": "1417601980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N CHURCH ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N CHURCH ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722808",
            "telephone_number": "803-210-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED GROVE COUNSELING & HEALING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A",
        "authorized_official_last_name": "DUPKOSKI",
        "authorized_official_first_name": "WENNDY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "803-210-7422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC-S, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2022; 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.