Grace Counseling Center J. Ray Addison PH.D. PRT Et Al

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1844 Issued in SC

Legal business name

GRACE COUNSELING CENTER J. RAY ADDISON PH.D. PRT ET AL

Practice address

530 By Pass 123
Suite E2
Seneca, SC 29678-0859

Phone

(864) 882-7600

Fax

(864) 882-7631

NPI assigned

Mar 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Ray Addison, PH.D.NPI 1043589997

Title

Co-Director

Phone

(864) 882-7600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Ray Addison, LPC

  • Professional Counselor
  • Seneca, SC
  • NPI 1043589997
  NPD (past) Authorized official

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629195441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1105",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296331105",
            "telephone_number": "864-882-7600",
            "fax_number": "864-882-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BY PASS 123",
            "address_2": "SUITE E2",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296780859",
            "telephone_number": "864-882-7600",
            "fax_number": "864-882-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COUNSELING CENTER J. RAY ADDISON PH.D. PRT ET AL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "864-882-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "1844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Corner Internal Medicine PA
• Ronald D Gooden, AU.D
• Stacie Marie Goodwin, OTR/L
• Cari McCall Gosnell, M.ED, LCAS, LPC
• Kim Gosnell, NP
• Grace Dentistry, LLC
• Brandi Graham
• Michael Ragan Grant, DMD
• Mirryian Clarissa Grant
• Barbara Anne Greb, AU.D.

• Professional Counselor in Seneca, SC
• Providers in Seneca, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.