Active NPI
Katherine M Tarleton, MFT, LMFT
- Marriage & Family Therapist
- Greenville, SC
National Provider Identifier
1629631064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 8127
- Practice address
- 430 Woodruff Rd Ste 450
Greenville, SC 29607-3443 - Phone
- (864) 400-5130
- Fax
- (864) 818-4697
- NPI assigned
- Apr 22, 2019
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 8127 | SC | Primary |
Addresses
Primary practice location
430 Woodruff Rd Ste 450
Greenville, SC 29607-3443
Mailing address
119 Kingscreek Dr
Greer, SC 29650-5111
Other practice location 1
25 Woods Lake Rd Ste 712
Greenville, SC 29607-2765
Phone (864) 242-0005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
430 Woodruff Rd
Suite 450
Greenville, SC 29607-3443
Phone (864) 400-5130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8127 | SC | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Ellie LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
430 Woodruff Rd
Ste 450
Greenville, SC 29607
Phone (864) 400-5130
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1629631064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 KINGSCREEK DR",
"city": "GREER",
"state": "SC",
"postal_code": "296505111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 WOODRUFF RD STE 450",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073443",
"telephone_number": "864-400-5130",
"fax_number": "864-818-4697"
}
],
"practiceLocations": [
{
"address_1": "25 Woods Lake Rd Ste 712",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296072765",
"country_code": "US",
"telephone_number": "864-242-0005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARLETON",
"first_name": "KATHERINE",
"middle_name": "M",
"credential": "MFT, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-22",
"last_updated": "2024-10-28",
"certification_date": "2024-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "8127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.