DELORES MICHELLE MADISON (NPI# 1508126087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508126087 |
| Entity Type | Individual |
| Full Name | DELORES MICHELLE MADISON |
| Practice Address |
2638 Two Notch Rd Suite 106 Columbia SC 29204-1454 |
| Practice Telephone | 8038980210 |
| Mailing Telephone | 8038980210 |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2638 TWO NOTCH RD SUITE 106 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871546226 | Sara G Fuller | Nurse Practitioner | 2638 Two Notch Rd, Suite 110, Columbia, SC 29204-1454 | 2006-05-18 |
| 1770943235 | Victoria Hollingsworth Davis | Registered Nurse | 2638 Two Notch Rd, Suite 110, Columbia, SC 29204-1454 | 2016-02-26 |
| 1316323348 | Jim Manning | Social Worker | 2638 Two Notch Rd, Suite 108, Columbia, SC 29204-1454 | 2015-07-31 |
| 1568860336 | Second Chances Youth Services, LLC | Community/Behavioral Health | 2638 Two Notch Rd, Suite 106, Columbia, SC 29204-1454 | 2014-12-10 |
| 1053730572 | Palmetto Family Service Center of Sc | Community/Behavioral Health | 2638 Two Notch Rd, Suite 108, Columbia, SC 29204-1454 | 2014-04-11 |
| 1689910572 | South Carolina Department of Social Services | Case Management | 2638 Two Notch Rd, Suite 200, Columbia, SC 29204-1454 | 2012-12-20 |
| 1710258678 | Shannon Elizabeth Phillips | Counselor | 2638 Two Notch Rd, Suite 106, Columbia, SC 29204-1454 | 2012-01-24 |
| 1740550318 | Lauren Elaine Trollinger | Counselor | 2638 Two Notch Rd, Suite 106, Columbia, SC 29204-1454 | 2012-01-12 |
| 1013295807 | Alison York Sanderson | Counselor | 2638 Two Notch Rd, Columbia, SC 29204-1454 | 2011-07-27 |
| 1316250632 | Sheryl Mcalhaney Brown | Counselor | 2638 Two Notch Rd, Suite 106, Columbia, SC 29204-1454 | 2010-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133407 | Julianne Grace Patchan | Counselor | 9518 Sweet Grass Rdg, Columbia, MD 21046-2066 | 2020-10-27 |
| 1386242485 | The Oak Center for Dbt & Counseling Services, LLC | Counselor | 19 E Walnut St Ste D, Columbia, MO 65203-4505 | 2020-10-12 |
| 1477151538 | Gabriela Rios-martinez | Counselor | 10310 Swift Stream Pl Apt 405, Columbia, MD 21044-4899 | 2020-10-12 |
| 1508470840 | Christine Schaub | Counselor | 214 Autumn Run Cir, Columbia, SC 29229-7622 | 2020-09-03 |
| 1639780190 | Courtnay Kopec LLC | Counselor | 6309 Beechwood Dr, Columbia, MD 21046-1008 | 2020-08-10 |
| 1083224828 | Elite Transformant Solutions | Counselor | 6701 Bailey St, Columbia, SC 29203-7454 | 2020-08-06 |
| 1083223671 | Grant B Counseling & Consultation, LLC | Counselor | 702 Wildlife Ln, Columbia, SC 29209-3464 | 2020-07-29 |
| 1992323166 | Deitrich Andera Drayton | Counselor | 517 Howard St, Columbia, SC 29205-3820 | 2020-07-13 |
| 1033736202 | Trinicia Renee Lavon Jackson | Counselor | 6530 Davidson St Apt C1, Columbia, SC 29209-1732 | 2020-07-02 |
| 1497379648 | The Garnet Oak | Counselor | 215 Faircrest Way, Columbia, SC 29229-9244 | 2020-06-03 |
| Find all providers in COLUMBIA | ||||
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| 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.