Upstate Living Clinic LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

UPSTATE LIVING CLINIC LLC

Doing business as

Greenville Relationship Institute

Practice address

710 Pettigru St
Greenville, SC 29601-3121

Phone

(864) 990-4442

NPI assigned

Jul 11, 2019

Organization subpart

No

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

Authorized official

Name

Andrew L Johnston, LPCNPI 1093103376

Title

Owner

Phone

(864) 915-1610

Specialties & licenses 1

Addresses

Other names 1

• Greenville Relationship Institute Doing business as

Practitioners 1

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

• Andrew L Johnston, LPC

  • Counselor
  • Greenville, SC
  • NPI 1093103376

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1619529591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 DELLWOOD DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095018",
            "telephone_number": "864-915-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 PETTIGRU ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013121",
            "telephone_number": "864-990-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE LIVING CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-915-1610",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenville Relationship Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Upstate Eye Care, PA
• Upstate Hearing and Balance LLC
• Upstate Home Care LLC
• Upstate Home Health Care Solutions LLC
• Upstate Hopeful Hands LLC
• Upstate Living Water, LLC
• Upstate Maternal-Fetal Medicine, PA
• Upstate Medical Rehabilitation
• Upstate Palmetto Radiology PC
• Upstate Pathology, PA

• Mental Health Counselor in Greenville, SC
• Providers in Greenville, 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 Feb 28, 2020; 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.