Active NPI
Carrie Leigh Lichtenstein
- Audiologist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4195
- Practice address
- 200 Patewood Dr Ste B400
Greenville, SC 29615-6306 - Phone
- (864) 454-4368
- Fax
- (864) 241-9232
- NPI assigned
- Jun 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 4195 | SC | Primary |
| Audiologist | 231H00000X | 1607011 | NC | |
| Audiologist | 231H00000X | 1119 | MA |
Addresses
Primary practice location
200 Patewood Dr Ste B400
Greenville, SC 29615-6306
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
800 Washington St
#900
Boston, MA 02111-1552
Phone (617) 636-5300 ext. 7612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Patewood Dr
Suite B400
Greenville, SC 29615-6306
Phone (864) 454-4368
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4195 | SC | MD | General Practice Dentistry |
| 1607011 | NC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Physician Services Inc | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| St Francis Physician Services Inc | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| St Francis Physician Services Inc | Past | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
200 Patewood Dr
Ste B400
Greenville, SC 29615
Phone (864) 454-4368
1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721
Interoperability endpoints
- clichtenstein1153133@direct.bsmhealth.org
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Cardiovascular Disease Physician
- Greenville, SC
- NPI 1821679580
-
dba Bon Secours Covenant Primary Care
- Internal Medicine Physician
- Greenville, SC
- NPI 1871895771
-
dba Bon Secours Piedmont Orthopaedics-Fountain Inn
- Orthopaedic Surgery Physician
- Fountain Inn, SC
- NPI 1760361174
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
dba Eastside Pediatrics, PA
- Pediatrics Physician
- Taylors, SC
- NPI 1801524392
-
dba Carolina ENT
- Otolaryngology Physician
- Greenville, SC
- NPI 1508168410
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1508248139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PATEWOOD DR STE B400",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296156306",
"telephone_number": "864-454-4368",
"fax_number": "864-241-9232"
}
],
"practiceLocations": [
{
"address_1": "800 Washington St",
"address_2": "#900",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021111552",
"country_code": "US",
"telephone_number": "617-636-5300 x7612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LICHTENSTEIN",
"first_name": "CARRIE",
"middle_name": "LEIGH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "4195",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "1607011",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "1119",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.