Active NPI
Stuart Worley
- Counselor
- Mountain Rest, SC
National Provider Identifier
1619461001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6487
- Practice address
- 186 Brians Lake Rd
Mountain Rest, SC 29664-9111 - Phone
- (704) 576-5648
- NPI assigned
- Jun 19, 2018
- Last updated
- Jun 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6487 | SC | Primary |
Addresses
Primary practice location
186 Brians Lake Rd
Mountain Rest, SC 29664-9111
Mailing address
186 Brians Lake Rd
Mountain Rest, SC 29664-9111
Phone (704) 576-5648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6847 | Other | SC | STATE LICENSE CLINICAL MENTAL HEALTH COUNSELOR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6487 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whetstone Academy LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1619461001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 BRIANS LAKE RD",
"city": "MOUNTAIN REST",
"state": "SC",
"postal_code": "296649111",
"telephone_number": "704-576-5648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 BRIANS LAKE RD",
"city": "MOUNTAIN REST",
"state": "SC",
"postal_code": "296649111",
"telephone_number": "704-576-5648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLEY",
"first_name": "STUART",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-19",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "6487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE CLINICAL MENTAL HEALTH COUNSELOR",
"identifier": "6847",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain Rest, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.