Clemson Counseling Center Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC4325 Issued in SC

Legal business name

CLEMSON COUNSELING CENTER INC

Practice address

105 8 Wall St
Clemson, SC 29631

Phone

(864) 654-0322

Fax

(864) 654-0324

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Michele Davenport Eberhart, LPC

Title

President

Phone

(864) 654-0322

Specialties & licenses 1

Addresses

Tax ID family

Clemson Counseling Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clemson Counseling Center, Inc.

  • Mental Health Counselor
  • Clemson, SC
  • NPI 1093916090
  NPD tax ID

Locations

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.

• Jennifer Ross Boone, LCSW

  • Clinical Social Worker
  • Athens, GA
  • NPI 1366637597
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467510156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 8 WALL ST",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "29631",
            "telephone_number": "864-654-0322",
            "fax_number": "864-654-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 8 WALL ST",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "29631",
            "telephone_number": "864-654-0322",
            "fax_number": "864-654-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EBERHART",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "DAVENPORT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-654-0322",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "LPC4325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Brian Chivers, RPH
• Emily Christmas
• Clemson Apothecare
• Clemson Behavioral Health PA
• Clemson Counseling Associates LLC
• Clemson Counseling Center, Inc.
• Clemson Counseling Group, LLC
• Clemson Dental Associates, PA
• Clemson Eye, PA
• Clemson Free Clinic

• Mental Health Counselor in Clemson, SC
• Providers in Clemson, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.