NPIMap

Organization Active NPI

Eagle's Nest Counseling, LLC

  • Professional Counselor
  • Rock Hill, SC
National Provider Identifier
1750346532
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3719 Issued in SC
Legal business name
EAGLE'S NEST COUNSELING, LLC
Practice address
2025 Ebenezer Rd
K-5
Rock Hill, SC 29732-1062
Phone
(803) 322-1383
NPI assigned
Apr 17, 2006
Last updated
Oct 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Donna L Faile, LPCNPI 1942251947
Title
Owner
Phone
(803) 322-1383

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 3719 SC Primary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 3522 NC

Addresses

Primary practice location

2025 Ebenezer Rd
K-5
Rock Hill, SC 29732-1062

Mailing address

PO Box 37084
Rock Hill, SC 29732-0518
Phone (803) 322-1383

Other identifiers 1

IdentifierTypeStateIssuer
6102329MedicaidNC

National Provider Directory

National Provider Directory

Locations

2025 Ebenezer Rd
#K5
Rock Hill, SC 29732
Phone (803) 322-1383

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": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1750346532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37084",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297320518",
            "telephone_number": "803-322-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 EBENEZER RD",
            "address_2": "K-5",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321062",
            "telephone_number": "803-322-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE'S NEST COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "FAILE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-322-1383",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "3719",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102329",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.