Active NPI
Innovation Counseling Services
- Community/Behavioral Health Agency
- Greer, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- INNOVATION COUNSELING SERVICES
- Practice address
- 955 W Wade Hampton Blvd Ste 3B
Greer, SC 29650-1296 - Phone
- (864) 334-5019
- Fax
- (864) 432-2195
- NPI assigned
- Oct 14, 2019
- Last updated
- May 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shakeista Spunette Hawkins
- Title
- President
- Phone
- (864) 978-1148
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| School Counselor | 101YS0200X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Behavior Analyst | 103K00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
955 W Wade Hampton Blvd Ste 3B
Greer, SC 29650-1296
Mailing address
955 W Wade Hampton Blvd Ste 3B
Greer, SC 29650-1296
Phone (864) 334-5019
Other practice location 1
829 N Limestone St
Gaffney, SC 29340-2501
Phone (864) 334-5019
Other practice location 2
40 John McCarroll Way
Greenville, SC 29607-2284
Phone (864) 334-5019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
40 John McCarroll Way
Greenville, SC 29607
Phone (864) 230-3267
8 Sycamore Dr
Ste B9
Greenville, SC 29607
955 W Wade Hampton Blvd
Ste 3B
Greer, SC 29650
Phone (864) 324-5019
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Professional Counselor
- Greenville, SC
- NPI 1346452471
-
- Clinical Social Worker
- Greenville, SC
- NPI 1003467267
-
- Professional Counselor
- Greenville, SC
- NPI 1063806495
-
- Mental Health Counselor
- Greer, SC
- NPI 1164067559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683244800000",
"number": "1457993123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 W WADE HAMPTON BLVD STE 3B",
"city": "GREER",
"state": "SC",
"postal_code": "296501296",
"telephone_number": "864-334-5019",
"fax_number": "864-432-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 W WADE HAMPTON BLVD STE 3B",
"city": "GREER",
"state": "SC",
"postal_code": "296501296",
"telephone_number": "864-334-5019",
"fax_number": "864-432-2195"
}
],
"practiceLocations": [
{
"address_1": "829 N Limestone St",
"address_purpose": "LOCATION",
"city": "Gaffney",
"state": "SC",
"postal_code": "293402501",
"country_code": "US",
"telephone_number": "864-334-5019",
"fax_number": "864-432-2195",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40 John McCarroll Way",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296072284",
"country_code": "US",
"telephone_number": "864-334-5019",
"fax_number": "864-432-2195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INNOVATION COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-14",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A",
"authorized_official_last_name": "HAWKINS",
"authorized_official_first_name": "SHAKEISTA",
"authorized_official_middle_name": "SPUNETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-978-1148"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"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 Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.