NPIMap

Organization Active NPI

Trusted Results Therapy Group LLC

  • Community/Behavioral Health Agency
  • Charleston, SC
National Provider Identifier
1427736404
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRUSTED RESULTS THERAPY GROUP LLC
Practice address
2000 Sam Rittenburg Blvd
Suite 2011
Charleston, SC 29407-4631
Phone
(843) 793-2104
Fax
(843) 654-4850
NPI assigned
Jul 10, 2023
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Mitzi Ward
Title
Credentialing Specialist
Phone
(910) 234-1742

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2000 Sam Rittenburg Blvd
Suite 2011
Charleston, SC 29407-4631

Mailing address

1071 Sea Eagle Watch
Charleston, SC 29412-8252
Phone (843) 793-2104

Other practice location 1

1071 Sea Eagle Watch
Charleston, SC 29412-8252
Phone (843) 763-2104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240705000137 SC Part B Supplier - Clinic/Group Practice 8022552769 Receives reassigned benefits from 10 practitioners
Practice locations: Charleston, SC

National Provider Directory

National Provider Directory

Locations

2000 Sam Rittenberg Blvd
Ste 2011
Charleston, SC 29407
Phone (843) 737-2521

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1427736404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 SEA EAGLE WATCH",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128252",
            "telephone_number": "843-793-2104",
            "fax_number": "843-654-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SAM RITTENBURG BLVD",
            "address_2": "SUITE 2011",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074631",
            "telephone_number": "843-793-2104",
            "fax_number": "843-654-4850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1071 Sea Eagle Watch",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294128252",
            "country_code": "US",
            "telephone_number": "843-763-2104",
            "fax_number": "843-654-4850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRUSTED RESULTS THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MITZI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "910-234-1742"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.