Individual provider Active NPI

Robin Gayle Hagy, LPC

  • Counselor
  • Anderson, SC
National Provider Identifier
1689898652
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4041 Issued in SC
Practice address
410 E Shockley Ferry Road
Anderson, SC 29624-3847
Phone
(864) 225-6266
Fax
(864) 225-6267
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4041 SC Primary

Addresses

Primary practice location

410 E Shockley Ferry Road
Anderson, SC 29624-3847

Mailing address

410 E Shockley Ferry Road
Anderson, SC 29624-3847
Phone (864) 225-6266

Other identifiers 1

IdentifierTypeStateIssuer
GP1385MedicaidSC

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
I20260106003420 SC Practitioner - Mental Health Counselor 8123514445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Wellness Center LLCGroup PAC ID 8527406545, 10 clinicians

Practice addresses (Care Compare)

102 Buford Ave
Suite a
Anderson, SC 29621-3365
Phone (864) 261-9506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4041SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Wellness Center LLC CurrentSince Oct 3, 2025 Accepting new patients
New Foundations Children and Family Services, Inc. PastSince Nov 9, 2019 Accepting new patients

Locations

102 Buford Ave
Ste A
Anderson, SC 29621
Phone (864) 224-2325

2076 Woodruff Rd
Greenville, SC 29607
Phone (864) 261-9506

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689898652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E SHOCKLEY FERRY ROAD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296243847",
            "telephone_number": "864-225-6266",
            "fax_number": "864-225-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E SHOCKLEY FERRY ROAD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296243847",
            "telephone_number": "864-225-6266",
            "fax_number": "864-225-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGY",
        "first_name": "ROBIN",
        "middle_name": "GAYLE",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "4041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1385",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.