Active NPI
Kevin Ray Garrison, LPC
- Counselor
- Greenwood, SC
National Provider Identifier
1912756412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 12116
- Practice address
- 104 Maxwell Ave Ste 232
Greenwood, SC 29646-2641 - Phone
- (864) 554-7043
- NPI assigned
- May 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 12116 | SC | Primary |
Addresses
Primary practice location
104 Maxwell Ave Ste 232
Greenwood, SC 29646-2641
Mailing address
202 Kinkade Dr
Greenwood, SC 29649-9078
Phone (864) 554-7043
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12116 | SC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1912756412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 KINKADE DR",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296499078",
"telephone_number": "864-554-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MAXWELL AVE STE 232",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296462641",
"telephone_number": "864-554-7043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "KEVIN",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-16",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "12116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.