Individual provider Active NPI

Mary Susannah Baldwin, LPC

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1902240351
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5413 Issued in SC
Practice address
25 Woods Lake Rd Ste 712
Greenville, SC 29607-2765
Phone
(864) 242-0005
NPI assigned
Apr 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 5413 SC Primary

Addresses

Primary practice location

25 Woods Lake Rd Ste 712
Greenville, SC 29607-2765

Mailing address

25 Woods Lake Rd Ste 712
Greenville, SC 29607-2765
Phone (864) 242-0005

Other practice location 1

110 Manly St
Greenville, SC 29601-3025
Phone (864) 513-1844

Other practice location 2

7C Brendan Way
Greenville, SC 29615-3514
Phone (864) 513-1844

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

State licenses

LicenseStateTypeSpecialty
5413SCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1367107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902240351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 712",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072765",
            "telephone_number": "864-242-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 712",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072765",
            "telephone_number": "864-242-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Manly St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296013025",
            "country_code": "US",
            "telephone_number": "864-513-1844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7C Brendan Way",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153514",
            "country_code": "US",
            "telephone_number": "864-513-1844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "MARY",
        "middle_name": "SUSANNAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; 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.