Individual provider Active NPI

Cecil Glen Plumley, LISW-CP

  • Counselor
  • Landrum, SC
National Provider Identifier
1659334647
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
002725 Issued in SC
Practice address
206 E Rutherford St
Landrum, SC 29356-1626
Phone
(864) 457-2812
Fax
(864) 457-2812
NPI assigned
Apr 10, 2006
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 002725 SC Primary
Clinical Social Worker 1041C0700X 2725 SC

Addresses

Primary practice location

206 E Rutherford St
Landrum, SC 29356-1626

Mailing address

1134 Belue Mill Rd
Landrum, SC 29356-9036
Phone (864) 494-6291

Other practice location 1

430 Woodruff Rd Ste 450
Greenville, SC 29607-3443
Phone (864) 400-5130

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200706002090 SC Practitioner - Clinical Social Worker 5395168645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Ellie LLCGroup PAC ID 3577938224, 8 clinicians

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

LicenseStateTypeSpecialty
002725SCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Ellie LLC Clinical CurrentSince Mar 1, 2023 Accepting new patients
Thrive Counseling LLC Multi-Specialty PastSince Dec 28, 2020 Accepting new patients

Locations

430 Woodruff Rd
Ste 450
Greenville, SC 29607
Phone (864) 400-5130

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1659334647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 BELUE MILL RD",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293569036",
            "telephone_number": "864-494-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E RUTHERFORD ST",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293561626",
            "telephone_number": "864-457-2812",
            "fax_number": "864-457-2812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Woodruff Rd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296073443",
            "country_code": "US",
            "telephone_number": "864-400-5130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUMLEY",
        "first_name": "CECIL",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "002725",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "2725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landrum, SC

Sources for this page

Verify at the official NPI Registry.