Carolina Counseling Associates of the Upstate

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CAROLINA COUNSELING ASSOCIATES OF THE UPSTATE

Practice address

200 Plaza Cir Ste C
Clinton, SC 29325-7560

Phone

(864) 399-4425

NPI assigned

Apr 26, 2021

Organization subpart

No

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

Authorized official

Name

Charity Kilgore, LPCNPI 1477988137

Title

Owner

Phone

(864) 399-4425

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charity Marie Kilgore

  • Mental Health Counselor
  • Greenwood, SC
  • NPI 1477988137
  NPD Authorized official

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1588246763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOWLER OAKS LN",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814092",
            "telephone_number": "864-399-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PLAZA CIR STE C",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257560",
            "telephone_number": "864-399-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COUNSELING ASSOCIATES OF THE UPSTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-399-4425",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Theranest.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Plaza Cir Ste C",
            "city": "Clinton",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293257560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Johnny Eugene Campbell II
• Jacob Harrison Cannon
• Louvenia Carlie
• Geoffrey Carlson, PA
• Carolina Christian Ministrties
• Carolina Family Medicine of Laurens County PA
• Carolina Health Centers, Inc.
• Carolina Health Centers, Inc.
• Carolina Health Centers, Inc.
• Carolina Prosthetics and Orthotics, Inc.

• All providers in Clinton, SC
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.