Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Roderick L Hollis

Individual provider Mental Health Counselor · NPI 1003977539

Roderick L Hollis is a Mental Health Counselor in Gaffney, South Carolina. Qualified in 2020, 6 years ago. Practices with Charleston Counseling Center PC, a 181-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
6
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

125 E Robinson St
Gaffney, SC 29340-2444
Phone: (864) 487-2710
Fax: (864) 487-2729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1003977539
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 12, 2006
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing address250 Dewey Ave, Spartanburg, SC 29303-3009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Charleston Counseling Center Pc — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Gaffney