Active NPI
Robert Michael Bain, LMFT
- Marriage & Family Therapist
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 7905
- Practice address
- 460 Langdon St
Spartanburg, SC 29302-1416 - Phone
- (864) 582-2411
- Fax
- (864) 582-7178
- NPI assigned
- Aug 23, 2019
- Last updated
- Jun 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 7905 | SC | Primary |
Addresses
Primary practice location
460 Langdon St
Spartanburg, SC 29302-1416
Mailing address
P.O. Box 5158
Spartanburg, SC 29304-5158
Phone (864) 504-3628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LT1110 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7905 | SC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenesis Organization Community Health Center | Mental Health | Current | Accepting new patients |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients |
Locations
460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Regenesis Health Care
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457061087
Mental Health
-
dba ReGenesis Health Care
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457745952
-
dba Regenesis Community Health Center
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1548528714
-
dba Regenesis Health Center- Northside
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1558946376
-
- Federally Qualified Health Center (FQHC)
- Union, SC
- NPI 1982248852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1508413576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5158",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293045158",
"telephone_number": "864-504-3628",
"fax_number": "864-594-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 LANGDON ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293021416",
"telephone_number": "864-582-2411",
"fax_number": "864-582-7178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIN",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-23",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "7905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LT1110",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.