Upstate Testing & Evaluation Center LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

UPSTATE TESTING & EVALUATION CENTER LLC

Practice address

1207 N Fant St
Anderson, SC 29621-4821

Phone

(864) 934-2837

Fax

(866) 345-7549

NPI assigned

Sep 25, 2013

Last updated

Sep 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robin L Moody, LPCNPI 1265867139

Title

Owner

Phone

(864) 934-2837

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin L Moody, LPC

  • Professional Counselor
  • Anderson, SC
  • NPI 1265867139
  NPD (past) Authorized official

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1669808408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214821",
            "telephone_number": "864-934-2837",
            "fax_number": "866-345-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214821",
            "telephone_number": "864-934-2837",
            "fax_number": "866-345-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE TESTING & EVALUATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-934-2837",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Anderson, SC
• Providers in Anderson, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.