Speakeasy Counseling

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SPEAKEASY COUNSELING

Practice address

102 Shea St
Summerville, SC 29485-7350

Phone

(864) 590-1077

NPI assigned

Apr 6, 2022

Organization subpart

No

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

Authorized official

Name

Tina Maria Robertson, MMFT, LMFTNPI 1508269770

Title

Owner

Phone

(864) 590-1077

Specialties & licenses 3

Addresses

Practitioners 1

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

• Tina Maria Robertson, LMFT

  • Marriage & Family Therapist
  • Greenville, SC
  • NPI 1508269770

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1801537352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SHEA ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857350",
            "telephone_number": "864-590-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SHEA ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857350",
            "telephone_number": "864-590-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAKEASY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-590-1077",
        "authorized_official_credential": "MMFT, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Smiles
• Alexander Dix Soutter, MD
• Space and Time Counseling LLC
• Speak Hope, LLC
• Speak Up Speech Therapy, LLC
• Spear Educational Services
• Jessica Spearing
• Sarah Jane Tyler Spearman, PHARMD
• Special Care Vision of SC, LLC
• Vito Speciale, DPM

• Clinic/Center in Summerville, SC
• Providers in Summerville, SC by specialty
• Clinic/Center in South Carolina

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

Verify at the official NPI Registry.