Organization Active NPI

Fresh Focus Innovations, LLC

  • Mental Health Counselor
  • Greenville, SC
National Provider Identifier
1588147607
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FRESH FOCUS INNOVATIONS, LLC
Practice address
4921 Bridle Path LN
Greenville, SC 29615-3615
Phone
(803) 816-2155
NPI assigned
Sep 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Jasmine Luster, LPC
Title
President
Phone
(803) 816-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4921 Bridle Path LN
Greenville, SC 29615-3615

Mailing address

8520 Beaver Creek Dr
Charlotte, NC 28269-2821
Phone (864) 567-6057

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL freshfocusinnovations.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1588147607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 BEAVER CREEK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692821",
            "telephone_number": "864-567-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 BRIDLE PATH LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153615",
            "telephone_number": "803-816-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH FOCUS INNOVATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "LUSTER",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-816-2155",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "freshfocusinnovations.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4921 Bridle Path Ln",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296153615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.