Mainstream Therapeutic Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5343 Issued in SC

Legal business name

MAINSTREAM THERAPEUTIC SERVICES LLC

Practice address

4124 Clemson Blvd
J
Anderson, SC 29621-1169

Phone

(864) 477-8128

NPI assigned

Nov 3, 2014

Organization subpart

No

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

Authorized official

Name

Chaka Smith, LPC

Title

Licensed Professional Counselor

Phone

(864) 351-9434

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1700281797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713D E GREENVILLE ST",
            "address_2": "#324",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 CLEMSON BLVD",
            "address_2": "J",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211169",
            "telephone_number": "864-477-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREAM THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHAKA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "864-351-9434",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "5343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1156",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry H Maddox, M.D.
• Tiara C Madric, BD,PD,
• Michael Magaha, RPH
• Ryan Michael Magg, D.D.S.
• Magnolia Physical Therapy,PA
• Christina Devault Majors, DPT
• Karen Mak, O.D.
• Susan Makison
• Rajeev Malik, M.D.
• Ravinder Malik, M.D.

• Community/Behavioral Health Agency in Anderson, SC
• Providers in Anderson, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.