Individual provider Active NPI

Natasha Patino Hrysikos, LPC

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1902079254
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5774 Issued in SC
Practice address
405 Pettigru Street
Greenville, SC 29601
Phone
(864) 271-3549
Fax
(864) 271-8282
NPI assigned
Apr 8, 2008
Last updated
May 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2019

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 5774 SC Primary

Addresses

Primary practice location

405 Pettigru Street
Greenville, SC 29601

Mailing address

405 Pettigru Street
Greenville, SC 29601
Phone (864) 271-3549

Other identifiers 1

IdentifierTypeStateIssuer
301100MedicaidSC

Other names 1

  • Natasha Patino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1902079254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PETTIGRU STREET",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29601",
            "telephone_number": "864-271-3549",
            "fax_number": "864-271-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 PETTIGRU STREET",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29601",
            "telephone_number": "864-271-3549",
            "fax_number": "864-271-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRYSIKOS",
        "first_name": "NATASHA",
        "middle_name": "PATINO",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301100",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "PATINO",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 29, 2019; 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.