DYLAN L REDD
NPI 1790328102
Counselor - Mental Health in Greenville, SC

NPI Status: Active since October 18, 2019

Contact Information

37 VILLA RD STE 206
GREENVILLE, SC
ZIP 29615
Phone: (864) 757-2416

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  • Individual
  • Male
  • Counselor
  • Mental Health
  • PECOS Enrolled
  • Opted-Out Medicare

About DYLAN REDD

This page provides the complete NPI Profile along with additional information for Dylan Redd, a provider established in Greenville, South Carolina with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1790328102 assigned on October 2019. The practitioner's primary taxonomy code is 101YM0800X with license number 7966 (SC). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1790328102
Provider Name
DYLAN L REDD
Gender
Male
Entity Type
Individual
Location Address
37 VILLA RD STE 206 GREENVILLE, SC 29615
Location Phone
(864) 757-2416
Mailing Address
37 VILLA RD STE 206 GREENVILLE, SC 29615
Mailing Phone
(864) 757-2416
Is Sole Proprietor?
Yes
Enumeration Date
10-18-2019
Last Update Date
05-17-2022
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A mental health counselor like Dylan Redd provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Dylan Redd opted out of Medicare effective on 10-08-2024 until 10-08-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Secondary Locations

  • 476 Heritage Park Blvd
    Layton, UT 84041
    (801) 425-0225

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
7966
License State
SC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

INTERN 

Medicare Participation & PECOS Enrollment Status

Dylan Redd is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 10-08-2024

  • Opt-Out End Date: 10-08-2026

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DYLAN L REDD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790328102
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180621610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 6 + 2 + 1 + 6 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1790328102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033744321 KATERYNA BARNES LPC
Individual
Counselor (Professional)37 VILLA RD STE 206
GREENVILLE, SC 29615
(864) 735-8439
1275072316 CELISA ANN PATTERSON MA, ADC, LPC
Individual
Counselor (Professional)37 VILLA RD STE 206
GREENVILLE, SC 29615
(864) 729-3081
1881345304MS. MICHELE PETERS HOLDER LPCA
Individual
Counselor (Professional)37 VILLA RD STE 206
GREENVILLE, SC 29615
(864) 346-8660
1992511042AGAPE TRANSFORMATION COUNSELING, LLC
Organization
Counselor (Professional)37 VILLA RD STE 206
GREENVILLE, SC 29615
(864) 729-3081

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790328102, enumerated in the NPI registry as an "individual" on October 18, 2019

The provider is located at 37 Villa Rd Ste 206 Greenville, Sc 29615 and the phone number is (864) 757-2416

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

No, the provider signed an affidavit on October 08, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 08, 2026.

This NPI record was last updated on October 18, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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