NPIMap

Organization Active NPI

Well Greenville LLC

  • Counseling Psychologist
  • Greenville, SC
National Provider Identifier
1912546532
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
WELL GREENVILLE LLC
Practice address
11 N Irvine St
Greenville, SC 29601-4900
Phone
(864) 900-4007
NPI assigned
Dec 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Bailey Nevels, PH.D.NPI 1811488869
Title
Sole Member
Phone
(864) 900-4007

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
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

11 N Irvine St
Greenville, SC 29601-4900

Mailing address

418 Pinckney St
Greenville, SC 29601-1120
Phone (864) 900-4007

National Provider Directory

National Provider Directory

Locations

11 N Irvine St
Greenville, SC 29601
Phone (864) 900-4007

Practitioners & affiliated clinicians

Practitioners 1

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": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1912546532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 PINCKNEY ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296011120",
            "telephone_number": "864-900-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N IRVINE ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014900",
            "telephone_number": "864-900-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL GREENVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "NEVELS",
        "authorized_official_first_name": "BAILEY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "864-900-4007",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "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 Dec 30, 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.