Mimi Metcalfe, M.Ed.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC 1970 Issued in SC

Legal business name

MIMI METCALFE, M.ED.

Practice address

214 Keowee TRL
Clemson, SC 29631-1448

Phone

(864) 654-7858

Fax

(864) 654-7972

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Mimi B Metcalfe, M.ED. LPC

Title

Sole Owner

Phone

(864) 654-7858

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639385065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 KEOWEE TRL",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311448",
            "telephone_number": "864-654-7858",
            "fax_number": "864-654-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 KEOWEE TRL",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311448",
            "telephone_number": "864-654-7858",
            "fax_number": "864-654-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMI METCALFE, M.ED.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "METCALFE",
        "authorized_official_first_name": "MIMI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "864-654-7858",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED. LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "LPC 1970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN",
            "identifier": "$$$$$$$$$",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PERSONAL",
            "identifier": "1821180092",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mimi B Metcalfe, LPC
• Michelle Spearman Nutrition LLC
• Christopher Lee Miles, MD
• Jack Parker Miller Jr., M.D.
• James Matthew Mills
• Renee A. Monaghan, M.D.
• Kristen Heather Monzo, PT
• Caitlin A Moore, APRN
• Mallory Nicole Moore, SLP
• Martine Exumat Moore, MS., CCC-SLP

• Mental Health Counselor in Clemson, SC
• Providers in Clemson, 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 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.