Individual provider Active NPI

Richard Allen Gorrell, MED LPC

  • Counselor
  • Anderson, SC
National Provider Identifier
1447428552
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4571 Issued in SC
Practice address
410 E Shockley Ferry Road
Anderson, SC 29624-3847
Phone
(864) 225-6266
Fax
(864) 225-6267
NPI assigned
Feb 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4571 SC Primary

Addresses

Primary practice location

410 E Shockley Ferry Road
Anderson, SC 29624-3847

Mailing address

410 E Shockley Ferry Road
Anderson, SC 29624-3847
Phone (864) 225-6266

Other identifiers 1

IdentifierTypeStateIssuer
GP1385MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
4571SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
New Foundations Children and Family Services, Inc. PastSince Nov 9, 2019 Accepting new patients

Organizations & group practices 1

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": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1447428552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E SHOCKLEY FERRY ROAD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296243847",
            "telephone_number": "864-225-6266",
            "fax_number": "864-225-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E SHOCKLEY FERRY ROAD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296243847",
            "telephone_number": "864-225-6266",
            "fax_number": "864-225-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORRELL",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "MED LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "4571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1385",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.