SHANTA PAYNE (NPI# 1356960371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356960371 |
Entity Type | Individual |
Full Name | SHANTA PAYNE |
Credential | LPC |
Practice Address |
1156 Bowman Rd Mount Pleasant SC 29464-3803 |
Practice Telephone | 8433529749 |
Enumeration Date | 2020-04-09 |
Last Update Date | 2020-04-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
7440 | SC | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
7440 | SC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | LICENSED PROFESSIONAL COUNSELOR | 7440 | 01 |
Street Address |
1156 BOWMAN RD |
City | MOUNT PLEASANT |
State | SC |
Zip Code | 29464-3803 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700336062 | Chaos Consulting, Inc. | Emergency Medicine | 1156 Bowman Rd, Ste 103, Mount Pleasant, SC 29464-3803 | 2016-10-11 |
1902102106 | Per Diem Healthcare Services, Inc. | Speech-Language Pathologist | 1156 Bowman Rd, Suite 200, Mount Pleasant, SC 29464-3803 | 2011-02-04 |
1326344714 | Carolina Respite Care, LLC | Respite Care | 1156 Bowman Rd, Suite 200, Mount Pleasant, SC 29464-3803 | 2011-02-01 |
1598902124 | Oasis Hyperbarics, LLC | Clinic/Center | 1156 Bowman Rd, Suite 103, Mount Pleasant, SC 29464-3803 | 2009-01-20 |
1639107162 | Yvonne J Davis | Internal Medicine | 1156 Bowman Rd, Suite 250, Mount Pleasant, SC 29464-3803 | 2006-06-30 |
1295793081 | Sheri Scott Zieminick | Pediatrics | 1156 Bowman Rd, Ste 105, Mount Pleasant, SC 29464 | 2006-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
Find all providers in zip 29464 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588281620 | Lindsay Buvel, LLC | Counselor | 200 Bayfront Dr Unit 209, Mount Pleasant, SC 29464-1835 | 2020-07-05 |
1790333904 | Dominique Spigner | Counselor | 106 Morgan St Ste B, Mount Pleasant, TX 75455-5600 | 2019-08-30 |
1487143558 | Daniel Rossario Gaita | Counselor | 4016 Conant Rd, Mount Pleasant, SC 29466-7178 | 2018-05-04 |
1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
1215468236 | Donna Friedman | Counselor | 100 Haddrell St, Mount Pleasant, SC 29464-4305 | 2017-03-22 |
1376909531 | Lisa Larkins | Counselor | 207 Simmons St, Mount Pleasant, SC 29464-4347 | 2016-01-04 |
1205203429 | Jennifer Higley | Counselor | 222 W Coleman Blvd Ste 206, Mount Pleasant, SC 29464-3588 | 2015-08-24 |
1396062295 | Kristen E. Shoemaker | Counselor | 1177 Gregorie Ferry Rd, Suite 101, Mount Pleasant, SC 29466-9351 | 2010-05-01 |
1811123094 | Anna Suzette Callahan | Counselor | 1002 Anna Knapp Ext, Suite 203, Mount Pleasant, SC 29464-5421 | 2009-06-02 |
1609045988 | Donna Tuten Farmer | Counselor | 1012 Anna Knapp Blvd., Mount Pleasant, SC 29464 | 2008-02-21 |
Find all providers in MOUNT PLEASANT |
City | MOUNT PLEASANT |
Zip Code | 29464 |
Please comment or provide details below to improve the information on SHANTA PAYNE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.