Active NPI
Stilwell Counseling LLC
- Professional Counselor
- Travelers Rest, SC
National Provider Identifier
1750160586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- STILWELL COUNSELING LLC
- Practice address
- 27 S Main St
Travelers Rest, SC 29690-1866 - Phone
- (864) 610-0658
- NPI assigned
- Sep 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca J Jackson, LPC
- Title
- Owner/Manager
- Phone
- (864) 610-0658
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
27 S Main St
Travelers Rest, SC 29690-1866
Mailing address
PO Box 504
Travelers Rest, SC 29690-0504
Phone (864) 610-0658
National Provider Directory
National Provider DirectoryLocations
27 S Main St
Travelers Rest, SC 29690
Phone (864) 610-0658
27 S Main St
Ste E
Travelers Rest, SC 29690
Phone (864) 610-0658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695254400000",
"number": "1750160586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 504",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296900504",
"telephone_number": "864-610-0658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 S MAIN ST",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296901866",
"telephone_number": "864-610-0658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STILWELL COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2022-04-19",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "864-610-0658",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Travelers Rest, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.