Organization Active NPI

Liberty Counseling and Wellness

  • Professional Counselor
  • Galivants Ferry, SC
National Provider Identifier
1710839337
Registry record updated Feb 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIBERTY COUNSELING AND WELLNESS
Practice address
3452 Barnhill Rd
Galivants Ferry, SC 29544-6697
Phone
(843) 340-1335
Fax
(843) 340-1335
NPI assigned
Feb 14, 2026
Last updated
Feb 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2026

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

Authorized official

Name
Kayla M O'Riley, LPCNPI 1043928021
Title
Professional Counselor
Phone
(843) 340-1335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

3452 Barnhill Rd
Galivants Ferry, SC 29544-6697

Mailing address

1227 16TH Ave # 218
Conway, SC 29526-3483
Phone (843) 340-1335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260331001978 SC Part B Supplier - Clinic/Group Practice 8527543214 Receives reassigned benefits from 1 practitioner
Practice locations: Galivants Ferry, SC

National Provider Directory

National Provider Directory

Locations

1227 16th Ave
#218
Conway, SC 29526

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1771027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771027200000",
    "number": "1710839337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 16TH AVE # 218",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263483",
            "telephone_number": "843-340-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 BARNHILL RD",
            "city": "GALIVANTS FERRY",
            "state": "SC",
            "postal_code": "295446697",
            "telephone_number": "843-340-1335",
            "fax_number": "843-340-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-14",
        "last_updated": "2026-02-14",
        "certification_date": "2026-02-14",
        "status": "A",
        "authorized_official_last_name": "O'RILEY",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "843-340-1335",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galivants Ferry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.