Virginia Bridges Gaulin, LPC, ATR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6744 Issued in SC

Practice address

209 Pendleton Rd Ste C
Clemson, SC 29631

Phone

(864) 982-0694

NPI assigned

Dec 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 30, 2024 through Jan 30, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Well Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clemson, SC
  • NPI 1457845299
  NPD Authorized official

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1558769141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 KEESE ST",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296701255",
            "telephone_number": "864-982-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PENDLETON RD STE C",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "29631",
            "telephone_number": "864-982-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAULIN",
        "first_name": "VIRGINIA",
        "middle_name": "BRIDGES",
        "credential": "LPC, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A11218",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Gansser, LPC
• Sydney Lynn Garrett
• Amy B Garrison, NP
• David Christopher Garrison Sr., D.M.D.
• Jessica Marie Garvey, OTR/L
• Sarah E Gazaway
• Warren Douglas Gentry, M.D.
• Monica Hayes Gibson, PT
• Jamie Gladfelder, RPH
• Trenton Wesley Goff, PHARMD

• Mental Health Counselor in Clemson, SC
• Providers in Clemson, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.

Verify at the official NPI Registry.