Active NPI
Nicholas John Fasone
- Mental Health Counselor
- Greer, SC
National Provider Identifier
1639082837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.12561
- Practice address
- 955 W Wade Hampton Blvd Ste 3B
Greer, SC 29650-1296 - Phone
- (864) 334-5019
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.12561 | SC | Primary |
Addresses
Primary practice location
955 W Wade Hampton Blvd Ste 3B
Greer, SC 29650-1296
Mailing address
2636 Roseglen LN
Indian Land, SC 29707-7956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1639082837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2636 ROSEGLEN LN",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297077956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 W WADE HAMPTON BLVD STE 3B",
"city": "GREER",
"state": "SC",
"postal_code": "296501296",
"telephone_number": "864-334-5019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASONE",
"first_name": "NICHOLAS",
"middle_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "LPC.12561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greer, SC
- Family Dental Health Group LLC
- Family Dental Health Group LLC (Family Dental Health of the Parkway)
- Family Dental Health of Greer, LLC
- Family Dental Health of Mountain View, LLC
- Family Therapy & Trauma Center
- Jacob Faulkingham
- Jeffrey Neal Faust, M.D.
- Susan Jane Fenderson, FNP-C
- Todd Robert Fennell, MD
- Suzanne Hartness Fentress, LISW-CP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.