Organization Active NPI

Innovation Counseling Services

  • Community/Behavioral Health Agency
  • Greer, SC
National Provider Identifier
1457993123
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20200812001224 SC Part B Supplier - Clinic/Group Practice 9830515535 Receives reassigned benefits from 5 practitioners
Practice locations: Greer, SC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.