Individual provider Active NPI

Scott K Grainger

  • Professional Counselor
  • Conway, SC
National Provider Identifier
1528489192
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5674 Issued in SC
Practice address
105 Hampton Ridge Rd
Conway, SC 29527-3975
Phone
(843) 385-0795
NPI assigned
Dec 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5674 SC Primary

Addresses

Primary practice location

105 Hampton Ridge Rd
Conway, SC 29527-3975

Mailing address

105 Hampton Ridge Rd
Conway, SC 29527-3975
Phone (843) 385-0795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5674SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Truth, Love, & Counseling Corporation Professional Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1528489192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HAMPTON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295273975",
            "telephone_number": "843-385-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HAMPTON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295273975",
            "telephone_number": "843-385-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAINGER",
        "first_name": "SCOTT",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.