Organization Active NPI

Harvey Counseling Services LLC

  • Counselor
  • Goose Creek, SC
National Provider Identifier
1447600218
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
HARVEY COUNSELING SERVICES LLC
Practice address
105 Central Avenue
Suite 17 of Building 200
Goose Creek, SC 29445
Phone
(907) 687-8482
Fax
(803) 574-2039
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Mrs. Angela Denise HarveyNPI 1932583846
Title
Owner/Therapist
Phone
(907) 687-8482

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Community/Behavioral Health Agency 251S00000X 6007 SC

Addresses

Primary practice location

105 Central Avenue
Suite 17 of Building 200
Goose Creek, SC 29445

Mailing address

1181 Moss Grove Dr
Moncks Corner, SC 29461
Phone (907) 687-8482

Other identifiers 1

IdentifierTypeStateIssuer
PC1718MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260212004422 SC Part B Supplier - Clinic/Group Practice 5092295766 Receives reassigned benefits from 1 practitioner
Practice locations: Goose Creek, SC

National Provider Directory

National Provider Directory

Locations

105 Central Ave
Bldg 200A
Goose Creek, SC 29445
Phone (843) 931-0500

105 Central Ave
Ste 300A
Goose Creek, SC 29445
Phone (843) 693-3181

116 E Railroad Ave
Moncks Corner, SC 29461

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1447600218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 MOSS GROVE DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "29461",
            "telephone_number": "907-687-8482",
            "fax_number": "803-574-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVENUE",
            "address_2": "SUITE 17 OF BUILDING 200",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "29445",
            "telephone_number": "907-687-8482",
            "fax_number": "803-574-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "907-687-8482",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "6007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1718",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.