MARY ANN SEVERSON LPC, LMHC
NPI 1629123450
Counselor - Mental Health in Greenville, SC

Q: What is Mary Ann Severson's NPI number?

The NPI number for Mary Ann Severson is 1629123450. It was assigned to this individual provider in the NPPES registry on January 24, 2007. The provider is also known as Mary Ann Little.

Q: What is Mary Ann Severson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Mary Ann Severson was last updated on April 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 24, 2007PECOS Enrolled

430 WOODRUFF RD STE 450, GREENVILLE, SC 29607(864) 400-5130 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mary Ann Severson Lpc, Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANN SEVERSON LPC, LMHC (NPI 1629123450) is an individual mental health provider in Greenville, South Carolina, licensed in South Carolina (LPC9136) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sebring, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1629123450

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARY ANN SEVERSONCredential: LPC, LMHC

Location Address430 WOODRUFF RD STE 450Greenville, SC 29607-3443

Mailing Address221 Trotters Ridge LnSimpsonville, SC 29681 · (863) 414-7483 · Fax (863) 314-9640

Phone(864) 400-5130

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJanuary 24, 2007

Last NPPES UpdateApril 2, 2024

NPPES CertifiedApril 2, 2024

✔ NPI 1629123450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in SC · LPC9136✔ Licensed in IA · LMHC39004878A✔ Licensed in FL · LMHC7711✔ Licensed in FL · MH7711

430 WOODRUFF RD STE 450, Greenville, SC 29607

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Other Names 1

Former Name (1)Mary Ann Little

Secondary Practice Location 1

Location 13200 US Highway 27 S, SUITE 304Sebring, FL 33870-5473 · Phone (863) 314-0622 · Fax (863) 314-9640

Other Identifiers 1

OtherZ050LFL · Bcbs Fl

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ann Severson Lpc, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830667203

PECOS Enrollment IDI20260506000387

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHABONINA JOY BERESFORD LMSW

Social Worker