Individual provider Active NPI

Susan Carol Tankersley, LMFT

  • Marriage & Family Therapist
  • Travelers Rest, SC
National Provider Identifier
1659717700
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4557 Issued in SC
Practice address
6715 State Park Rd
Travelers Rest, SC 29690-1831
Phone
(864) 607-2369
Fax
(864) 680-1373
NPI assigned
May 16, 2013
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4557 SC Primary

Addresses

Primary practice location

6715 State Park Rd
Travelers Rest, SC 29690-1831

Mailing address

6715 State Park Rd
Travelers Rest, SC 29690-1831
Phone (864) 607-2369

Other practice location 1

2410B N Main St
Anderson, SC 29621-3275
Phone (864) 607-2369

Other practice location 2

306B W Poinsett St
Greer, SC 29650-1548
Phone (864) 607-2369

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SusanT@HeritageInstituteSC.org Direct Heritage Institute

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Institute Current Accepting new patients

Locations

6715 State Park Rd
Travelers Rest, SC 29690
Phone (864) 481-0004

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, 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": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1659717700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 STATE PARK RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901831",
            "telephone_number": "864-607-2369",
            "fax_number": "864-689-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 STATE PARK RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901831",
            "telephone_number": "864-607-2369",
            "fax_number": "864-680-1373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410B N Main St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296213275",
            "country_code": "US",
            "telephone_number": "864-607-2369",
            "fax_number": "864-689-1373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306B W Poinsett St",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296501548",
            "country_code": "US",
            "telephone_number": "864-607-2369",
            "fax_number": "864-689-1373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANKERSLEY",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "4557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SusanT@HeritageInstituteSC.org",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "affiliationName": "Heritage Institute",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "6715 State Park Rd",
            "city": "Travelers Rest",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296901831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Travelers Rest, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.