Passion Kiara Bankhead, LPCA
Individual provider Active NPI Mental Health Counselor · Gaffney, SC
NPI 1508612136 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1508612136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 8630 (SC)
- Practice address
- 206 W Meadow St
Gaffney, SC 29341-2350 - Phone
- (864) 435-4094
- NPI assigned
- Apr 25, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1721 Ebenezer Rd
Suite 225
Rock Hill, SC 29732-1119
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8630 | SC | Yes |
Addresses
Primary practice location
206 W Meadow St
Gaffney, SC 29341-2350
Mailing address
206 W Meadow St
Gaffney, SC 29341-2350
Other providers in Gaffney, SC
- Angelic Services, LLC
- Patricia Archibald
- Mickey Dean Bailey
- Paul Bradford Bailey
- Karen Lou Bambrough
- Herbert Francis Barnhill
- Jennifer Abrajano Barredo
- Thomas Beam
- Ardejah Beard
- Michelle D. Bedell
All providers in Gaffney, SC · Mental Health Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.