Individual provider Active NPI

Tory Adam Ervin, LMFTA

  • Marriage & Family Therapist
  • Greenville, SC
National Provider Identifier
1659912285
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
7067 Issued in SC
Practice address
109 Laurens Rd Ste 4D
Greenville, SC 29607-1860
Phone
(864) 214-5490
NPI assigned
Oct 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 7067 SC Primary

Addresses

Primary practice location

109 Laurens Rd Ste 4D
Greenville, SC 29607-1860

Mailing address

121 Victory HL
Marietta, SC 29661-9419
Phone (716) 680-0628

Other practice location 1

2410B N Main St
Anderson, SC 29621-3275
Phone (716) 680-0628

Other practice location 2

6715 State Park Rd
Travelers Rest, SC 29690-1831
Phone (716) 680-0628

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

State licenses

LicenseStateTypeSpecialty
7067SCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tory Ervin LMFT LLC Marriage & Family Therapist Current Accepting new patients
Cascades Therapy Group LLC Marriage & Family Therapist Past Accepting new patients

Locations

109 Laurens Rd
Ste 4D
Greenville, SC 29607
Phone (864) 214-5490

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1659912285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 VICTORY HL",
            "city": "MARIETTA",
            "state": "SC",
            "postal_code": "296619419",
            "telephone_number": "716-680-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LAURENS RD STE 4D",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071860",
            "telephone_number": "864-214-5490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410B N Main St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296213275",
            "country_code": "US",
            "telephone_number": "716-680-0628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6715 State Park Rd",
            "address_purpose": "LOCATION",
            "city": "Travelers Rest",
            "state": "SC",
            "postal_code": "296901831",
            "country_code": "US",
            "telephone_number": "716-680-0628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "TORY",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-04",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "7067",
            "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 Jun 25, 2024; 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.