NPIMap

Organization Active NPI

Potential Counseling Service

  • Community/Behavioral Health Agency
  • Conway, SC
National Provider Identifier
1952614653
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
POTENTIAL COUNSELING SERVICE
Practice address
8377 Huntington CT
Conway, SC 29527-7989
Phone
(843) 283-4132
NPI assigned
Jul 22, 2010
Last updated
Jul 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Ms. Elasha Lavone Leary, M.A, GCDFNPI 1699119420
Title
Executive Director
Phone
(843) 283-4132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SC Primary

Addresses

Primary practice location

8377 Huntington CT
Conway, SC 29527-7989

Mailing address

8377 Huntington CT
PO Box 1376
Conway, SC 29527-7989
Phone (843) 283-4132

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": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1952614653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8377 HUNTINGTON CT",
            "address_2": "PO BOX 1376",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295277989",
            "telephone_number": "843-283-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8377 HUNTINGTON CT",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295277989",
            "telephone_number": "843-283-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTENTIAL COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "ELASHA",
        "authorized_official_middle_name": "LAVONE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-283-4132",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A, GCDF"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.