NPIMap

Organization Active NPI

Psychworks Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Hollywood, SC
National Provider Identifier
1801526017
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PSYCHWORKS COUNSELING, LLC
Practice address
4448 Highway 162
Hollywood, SC 29449-5702
Phone
(843) 608-9319
NPI assigned
Jun 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Mr. Tyler William Eisenhart, LPCNPI 1215389127
Title
Owner/Operator
Phone
(843) 822-8773

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
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

4448 Highway 162
Hollywood, SC 29449-5702

Mailing address

4448 Highway 162
Hollywood, SC 29449-5702
Phone (843) 608-9319

Other identifiers 1

IdentifierTypeStateIssuer
1215389127MedicaidSC

Other names 1

  • PsychWorks Counseling, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1801526017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4448 HIGHWAY 162",
            "city": "HOLLYWOOD",
            "state": "SC",
            "postal_code": "294495702",
            "telephone_number": "843-608-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4448 HIGHWAY 162",
            "city": "HOLLYWOOD",
            "state": "SC",
            "postal_code": "294495702",
            "telephone_number": "843-608-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHWORKS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "EISENHART",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "843-822-8773",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215389127",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PsychWorks Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.