Carolyn S South, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701001882 Issued in VA

Practice address

6558 Main Street
Morgan BLDG., Ste 1 Office 3 and 3a
Gloucester, VA 23061-4162

Phone

(804) 699-3238

Fax

(804) 699-3731

NPI assigned

Apr 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dove Counseling Service

  • Professional Counselor
  • Gloucester, VA
  • NPI 1750954038
  NPD

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1700849148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230610549",
            "telephone_number": "804-699-3238",
            "fax_number": "804-699-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6558 MAIN STREET",
            "address_2": "MORGAN BLDG., STE 1 OFFICE 3 AND 3A",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230614162",
            "telephone_number": "804-699-3238",
            "fax_number": "804-699-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "CAROLYN",
        "middle_name": "S",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000854",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000000",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy S Shulman, N.P.
• Richard Thomas Sieller, PT
• Valarie Sikes-Nova, PSY.D.
• Desiree Devonne Smith, LCSW
• Sola Inc.
• Garry Benjamin Spain, LCSW
• Ginger Diane Spencer
• Kristen E Spratt, M.D.
• Stay at Home Personal Care LLC
• Steider & Associates, PLLC

• Professional Counselor in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.