Individual provider Active NPI

Tanya Coyle Hargrove, LPC

  • Mental Health Counselor
  • Charleston, SC
National Provider Identifier
1982657300
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4132 Issued in SC
Practice address
21 Gamecock Ave Ste E
Charleston, SC 29407-3368
Phone
(864) 630-4195
NPI assigned
May 18, 2006
Last updated
Nov 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X 4132 SC Primary

Addresses

Primary practice location

21 Gamecock Ave Ste E
Charleston, SC 29407-3368

Mailing address

3005 Evening Tide Dr
Hanahan, SC 29410-4805
Phone (864) 630-4195

Other practice location 1

275 Country Club Dr
Stockbridge, GA 30281-7349
Phone (770) 474-8400

Other practice location 2

200 E Main St
Suite 5
Easley, SC 29640-2073
Phone (864) 630-4195

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

LicenseStateTypeSpecialty
4132SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tanya C Hargrove Counseling, LPC, LLC CurrentSince Nov 27, 2022 Accepting new patients

Locations

21 Gamecock Ave
Ste E
Charleston, SC 29407
Phone (843) 417-0817

Interoperability endpoints

  • Direct secure messaging: georgiabehavioralhealthprofessionals.davidhermecz@124220.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1982657300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 EVENING TIDE DR",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294104805",
            "telephone_number": "864-630-4195",
            "fax_number": "843-587-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GAMECOCK AVE STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073368",
            "telephone_number": "864-630-4195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302817349",
            "country_code": "US",
            "telephone_number": "770-474-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E Main St",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296402073",
            "country_code": "US",
            "telephone_number": "864-630-4195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "TANYA",
        "middle_name": "COYLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "4132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.