Active NPI
Ronnie McCarrell, LPC
- Professional Counselor
- Greenville, SC
National Provider Identifier
1790113447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5217
- Practice address
- 25 Woods Lake Rd
Suite 412
Greenville, SC 29607-6125 - Phone
- (864) 553-6741
- NPI assigned
- Oct 16, 2013
- Last updated
- Mar 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5217 | SC | Primary |
Addresses
Primary practice location
25 Woods Lake Rd
Suite 412
Greenville, SC 29607-6125
Mailing address
507 Climbing Rose CT
Fountain Inn, SC 29644-3514
Phone (864) 520-4476
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12389770 | Other | SC | CAQH |
| PC1108 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5217 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choices for Change Counseling, PC | Professional | Past | 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.
-
- Professional Counselor
- Greenville, SC
- NPI 1972034619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489190400000",
"number": "1790113447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 CLIMBING ROSE CT",
"city": "FOUNTAIN INN",
"state": "SC",
"postal_code": "296443514",
"telephone_number": "864-520-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 WOODS LAKE RD",
"address_2": "SUITE 412",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296076125",
"telephone_number": "864-553-6741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARRELL",
"first_name": "RONNIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-16",
"last_updated": "2017-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12389770",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC1108",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.