Individual provider Active NPI

Passion Kiara Bankhead, LPCA

  • Mental Health Counselor
  • Gaffney, SC
National Provider Identifier
1508612136
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8630 Issued in SC
Practice address
206 W Meadow St
Gaffney, SC 29341-2350
Phone
(864) 435-4094
NPI assigned
Apr 25, 2024
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8630 SC Primary

Addresses

Primary practice location

206 W Meadow St
Gaffney, SC 29341-2350

Mailing address

206 W Meadow St
Gaffney, SC 29341-2350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1508612136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W MEADOW ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W MEADOW ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412350",
            "telephone_number": "864-435-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKHEAD",
        "first_name": "PASSION",
        "middle_name": "KIARA",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "8630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

Verify at the official NPI Registry.