Organization Active NPI

Synergy Counseling Services LLC

  • Professional Counselor
  • Summerville, SC
National Provider Identifier
1801838552
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SYNERGY COUNSELING SERVICES LLC
Practice address
627 Old Trolley Rd Ste a
Summerville, SC 29485-5673
Phone
(800) 552-4357
Fax
(678) 388-9244
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
James H Moody Jr., LPCSNPI 1588965511
Title
Ceo/Owner
Phone
(800) 552-4357

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

627 Old Trolley Rd Ste a
Summerville, SC 29485-5673

Mailing address

627 Old Trolley Rd Ste a
Summerville, SC 29485-5673
Phone (800) 552-4357

Other practice location 1

105 Central Ave Unit 20
Goose Creek, SC 29445-3278
Phone (800) 552-4357

Other practice location 2

201 Sigma Dr Ste 300
Summerville, SC 29486-7722
Phone (800) 552-4357

Other practice location 3

1824 Jefferson Davis Hwy
Graniteville, SC 29829-4032
Phone (800) 552-4357

Other practice location 4

141 Wildwood Dr
Walterboro, SC 29488-2857
Phone (800) 552-4357

Other practice location 5

4 Carriage Ln Ste 308
Charleston, SC 29407-6050
Phone (800) 552-4357

Other identifiers 6

IdentifierTypeStateIssuer
PG0023MedicaidSC
PG0325MedicaidSC
GP9716MedicaidSC
GP9793MedicaidSC
PG0704MedicaidSC
PG0648MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000188 SC Part B Supplier - Clinic/Group Practice 9638083298 Receives reassigned benefits from 13 practitioners
Practice locations: Charleston, SC; Goose Creek, SC; Graniteville, SC; Myrtle Beach, SC; Summerville, SC; Walterboro, SC

National Provider Directory

National Provider Directory

Locations

2315 N Main St
Anderson, SC 29621

4 Carriage Ln
Ste 308
Charleston, SC 29407
Phone (843) 974-5934

105 Central Ave
Unit 20
Goose Creek, SC 29445

3251 Landmark Dr
Ste 142
North Charleston, SC 29418

823 W Richardson Ave
Summerville, SC 29483
Phone (843) 224-4174

1710 Trolley Rd
Ste E
Summerville, SC 29485
Phone 8005524357106

627 Trolley Rd
Ste A
Summerville, SC 29485
Phone 8005524357109

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1801838552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 OLD TROLLEY RD STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855673",
            "telephone_number": "800-552-4357",
            "fax_number": "678-388-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 OLD TROLLEY RD STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855673",
            "telephone_number": "800-552-4357",
            "fax_number": "678-388-9244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Central Ave Unit 20",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294453278",
            "country_code": "US",
            "telephone_number": "800-552-4357",
            "fax_number": "678-388-9244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Sigma Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294867722",
            "country_code": "US",
            "telephone_number": "800-552-4357",
            "fax_number": "678-388-9244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1824 Jefferson Davis Hwy",
            "address_purpose": "LOCATION",
            "city": "Graniteville",
            "state": "SC",
            "postal_code": "298294032",
            "country_code": "US",
            "telephone_number": "800-552-4357",
            "fax_number": "678-388-9244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Wildwood Dr",
            "address_purpose": "LOCATION",
            "city": "Walterboro",
            "state": "SC",
            "postal_code": "294882857",
            "country_code": "US",
            "telephone_number": "800-552-4357",
            "fax_number": "678-388-9244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Carriage Ln Ste 308",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294076050",
            "country_code": "US",
            "telephone_number": "800-552-4357",
            "fax_number": "678-388-9244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYNERGY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "800-552-4357",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG0023",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG0325",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9716",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9793",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG0704",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG0648",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.