Individual provider Active NPI

Lorene R Heuvelman-Hutchinson, MS, EDS, PSYD

  • Professional Counselor
  • Simpsonville, SC
National Provider Identifier
1720583859
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6802 Issued in SC
Practice address
419 SE Main St Ste 203a
Simpsonville, SC 29681-2673
Phone
(678) 230-0476
NPI assigned
Mar 29, 2018
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 4673 SC
Professional Counselor 101YP2500X 6802 SC Primary

Addresses

Primary practice location

419 SE Main St Ste 203a
Simpsonville, SC 29681-2673

Mailing address

419 SE Main St Ste 203a
Simpsonville, SC 29681-2673
Phone (678) 230-0476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 3, 2024 through Jan 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Mental Wellness, LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1720583859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 SE MAIN ST STE 203A",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812673",
            "telephone_number": "678-230-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 SE MAIN ST STE 203A",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812673",
            "telephone_number": "678-230-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUVELMAN-HUTCHINSON",
        "first_name": "LORENE",
        "middle_name": "R",
        "credential": "MS, EDS, PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "4673",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.