Organization Active NPI

Choices for Change Counseling, PC

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1972034619
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5217 Issued in SC
Legal business name
CHOICES FOR CHANGE COUNSELING, PC
Practice address
25 Woods Lake Rd
Suite 412
Greenville, SC 29607-6125
Phone
(864) 214-4887
NPI assigned
Mar 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Ronnie McCarrell, LPCNPI 1790113447
Title
Owner/Therapist
Phone
(864) 214-4887

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 5217 SC Primary

Addresses

Primary practice location

25 Woods Lake Rd
Suite 412
Greenville, SC 29607-6125

Mailing address

507 Climbing Rose CT
Fountain Inn, SC 29644-3514

Other identifiers 1

IdentifierTypeStateIssuer
PC1108MedicaidSC

National Provider Directory

National Provider Directory

Locations

25 Woods Lake Rd
Ste 412
Greenville, SC 29607
Phone (864) 214-4887

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": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1972034619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 CLIMBING ROSE CT",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296443514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD",
            "address_2": "SUITE 412",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076125",
            "telephone_number": "864-214-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES FOR CHANGE COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "MCCARRELL",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "864-214-4887",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1108",
            "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 Mar 24, 2017; 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.