Organization Active NPI

Theorym Mental Health & Wellness, LLC

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1912832874
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THEORYM MENTAL HEALTH & WELLNESS, LLC
Practice address
25 Sweetbriar Rd Ste A6
Greenville, SC 29615-1462
Phone
(864) 790-4963
Fax
(877) 744-5147
NPI assigned
Jun 15, 2026
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
THEORYM MENTAL HEALTH & WELLNESS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Mrs. Jennie Lee Gamble, M.ED., LPCNPI 1972285724
Title
LPC/Owner
Phone
(864) 790-4963

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
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

25 Sweetbriar Rd Ste A6
Greenville, SC 29615-1462

Mailing address

25 Sweetbriar Rd Ste A6
Greenville, SC 29615-1462
Phone (864) 790-4963

Other identifiers 1

IdentifierTypeStateIssuer
PC3311MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1912832874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SWEETBRIAR RD STE A6",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151462",
            "telephone_number": "864-790-4963",
            "fax_number": "877-744-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SWEETBRIAR RD STE A6",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151462",
            "telephone_number": "864-790-4963",
            "fax_number": "877-744-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEORYM MENTAL HEALTH & WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THEORYM MENTAL HEALTH & WELLNESS, LLC",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "864-790-4963",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC3311",
            "state": "SC"
        }
    ],
    "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 15, 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.

Verify at the official NPI Registry.