Active NPI
Gary Raymond Powell, D.MIN, LPC
- Professional Counselor
- North Augusta, SC
National Provider Identifier
1932533296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3421
- Practice address
- 600 Martintown Rd
North Augusta, SC 29841-2011 - Phone
- (803) 599-1506
- Fax
- (706) 305-3139
- NPI assigned
- Aug 22, 2013
- Last updated
- Aug 22, 2013
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3421 | SC | Primary |
Addresses
Primary practice location
600 Martintown Rd
North Augusta, SC 29841-2011
Mailing address
4400 Wheeler Rd
Martinez, GA 30907-9704
Phone (706) 305-3137
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 |
|---|---|---|---|
| 3421 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1932533296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 WHEELER RD",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309079704",
"telephone_number": "706-305-3137",
"fax_number": "706-305-3139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MARTINTOWN RD",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298412011",
"telephone_number": "803-599-1506",
"fax_number": "706-305-3139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "GARY",
"middle_name": "RAYMOND",
"credential": "D.MIN, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-22",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "3421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.