NPIMap

Organization Active NPI

Eyes Open Counseling Services, LLC

  • Adult Mental Health Clinic/Center
  • Greenville, SC
National Provider Identifier
1861267544
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
EYES OPEN COUNSELING SERVICES, LLC
Doing business as
Eyes Open Counseling Services, LP
Practice address
10 East Ave
Greenville, SC 29601-2202
Phone
(864) 743-8702
NPI assigned
Nov 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Cadyn Liam Burnside, LISW-CPNPI 1356846877
Title
Co-Owner
Phone
(712) 790-0688

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

10 East Ave
Greenville, SC 29601-2202

Mailing address

10 East Ave
Greenville, SC 29601-2202
Phone (864) 743-8702

Other names 1

  • Eyes Open Counseling Services, LP Doing business as

National Provider Directory

National Provider Directory

Locations

10 East Ave
Greenville, SC 29601
Phone (864) 743-8702

Practitioners & affiliated clinicians

Practitioners 2

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": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1861267544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EAST AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012202",
            "telephone_number": "864-743-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EAST AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012202",
            "telephone_number": "864-743-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES OPEN COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "BURNSIDE",
        "authorized_official_first_name": "CADYN",
        "authorized_official_middle_name": "LIAM",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "712-790-0688",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes Open Counseling Services, LP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 22, 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.