Individual provider Active NPI

Laura S Anthony, PSY.D.

  • Clinical Psychologist
  • Okatie, SC
National Provider Identifier
1427349281
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1179 Issued in SC
Practice address
110 Traders Cross
# 123
Okatie, SC 29909-4637
Phone
(954) 885-9500
NPI assigned
Apr 28, 2011
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1179 SC Primary

Addresses

Primary practice location

110 Traders Cross
# 123
Okatie, SC 29909-4637

Mailing address

143 Beverly Dr
Easley, SC 29640-2221
Phone (864) 238-4107

Other practice location 1

100 Augusta St
Greenville, SC 29601-3504
Phone (864) 455-2600

Other identifiers 1

IdentifierTypeStateIssuer
PS0509MedicaidSC

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
I20120314000566 SC Practitioner - Clinical Psychologist 1153580931 Reassigns benefits to 4 organizations
Practice locations: Easley, SC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Counseling Center PC CurrentSince Jul 21, 2023 Accepting new patients
Transformative Healthcare Solutions Inc Clinical CurrentSince Dec 13, 2021 Accepting new patients
Prisma Health-Upstate Current Accepting new patients
Prisma Health-Upstate CurrentSince Jan 18, 2022 Accepting new patients
Prisma Health-Upstate CurrentSince Jan 18, 2022 Accepting new patients
St Francis Physician Services Inc CurrentSince Feb 1, 2021 Accepting new patients
St Francis Physician Services Inc CurrentSince Feb 1, 2021 Accepting new patients
Myrtle Beach Counseling Center PastSince Aug 6, 2019 Accepting new patients
Health Providers of America, LLC Past Accepting new patients

Locations

1848 SE 1st Ave
Ft Lauderdale, FL 33316
Phone (954) 366-2700

3701 Clark Rd
Boiling Springs, SC 29316
Phone (864) 586-1457

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

30 Patewood Dr
Ste 160
Greenville, SC 29615
Phone (864) 455-5777

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

110 Traders Cross
Okatie, SC 29909
Phone (602) 675-0335

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1427349281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 BEVERLY DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402221",
            "telephone_number": "864-238-4107",
            "fax_number": "864-751-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TRADERS CROSS",
            "address_2": "# 123",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299094637",
            "telephone_number": "954-885-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Augusta St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296013504",
            "country_code": "US",
            "telephone_number": "864-455-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "LAURA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0509",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.