Active NPI
Canterbury Counseling Center
- Clinical Social Worker
- Greenville, SC
National Provider Identifier
1992847248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3664
- Legal business name
- CANTERBURY COUNSELING CENTER
- Practice address
- 7 Pettigru St
Greenville, SC 29601-3000 - Phone
- (864) 235-7501
- Fax
- (864) 235-7503
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marion B Crooks Jr., LISW-CP
- Title
- Director
- Phone
- (864) 235-7501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3664 | SC | Primary |
Addresses
Primary practice location
7 Pettigru St
Greenville, SC 29601-3000
Mailing address
7 Pettigru St
Greenville, SC 29601-3000
Phone (864) 235-7501
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29260P001 | Other | SC | PLANNED ADMINISTRATORS |
| 68131M001 | Other | NE | MUTUAL OF OMAHA |
| 29219B001 | Other | SC | BCBS OF SC |
| 17089H001 | Other | PA | HIGHMARK, INC |
| 29219T001 | Other | SC | TRICARE FOR LIFE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1992847248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PETTIGRU ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013000",
"telephone_number": "864-235-7501",
"fax_number": "864-235-7503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 PETTIGRU ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013000",
"telephone_number": "864-235-7501",
"fax_number": "864-235-7503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANTERBURY COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "CROOKS",
"authorized_official_first_name": "MARION",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "864-235-7501",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LISW-CP"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "3664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PLANNED ADMINISTRATORS",
"identifier": "29260P001",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MUTUAL OF OMAHA",
"identifier": "68131M001",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF SC",
"identifier": "29219B001",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK, INC",
"identifier": "17089H001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE FOR LIFE",
"identifier": "29219T001",
"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 Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.