Individual provider Active NPI

Laura Viles, LPC, MED

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1841987237
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9881 Issued in SC
Practice address
430 Woodruff Rd Ste 450
Greenville, SC 29607-3443
Phone
(864) 400-5130
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9881 SC Primary

Addresses

Primary practice location

430 Woodruff Rd Ste 450
Greenville, SC 29607-3443

Mailing address

472 Hunt Ave
Richmond, VA 23222-2852
Phone (423) 580-1573

Other practice location 1

8310 Midlothian Tpke
North Chesterfield, VA 23235-5163
Phone (804) 447-6382 ext. 419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213002567 VA Practitioner - Mental Health Counselor 3870942071 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
9881SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Behavioral Health Center, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Upstate Ellie LLC Mental Health Past Accepting new patients

Locations

8310 Midlothian Tpke
North Chesterfield, VA 23235
Phone (804) 447-6382

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1841987237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 HUNT AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232222852",
            "telephone_number": "423-580-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WOODRUFF RD STE 450",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073443",
            "telephone_number": "864-400-5130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8310 Midlothian Tpke",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232355163",
            "country_code": "US",
            "telephone_number": "804-447-6382 x419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILES",
        "first_name": "LAURA",
        "credential": "LPC, MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "9881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.