STATE OF SOUTH CAROLINA (NPI# 1972651503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972651503 |
| Entity Type | Organization |
| Organization Name | STATE OF SOUTH CAROLINA |
| Other Organization Name | SC DAODAS |
| Practice Address |
101 Executive Center Dr Suite 215 Columbia SC 29210-8411 |
| Practice Telephone | 8038965555 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-07-25 |
| Authorized Official Name | MRS. LILLIAN ROBERSON (MANAGER, DIVISION OF OPERATIONS) |
| Authorized Official Telephone | 8038961145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| SC DAODAS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407913874 | State of South Carolina | Clinical Medical Laboratory | 8231 Parklane Rd, Columbia, SC 29223-4903 | 2007-01-03 |
| 1902975733 | State of South Carolina | Public Health or Welfare | 206 Airport Ct, Suite B, Mullins, SC 29574-6196 | 2006-11-07 |
| 1184793929 | State of South Carolina | Public Health or Welfare | 711 S Parsonage St, Bennettsville, SC 29512-4423 | 2006-11-07 |
| 1033295035 | State of South Carolina | Public Health or Welfare | 1736 S Main St, Greenwood, SC 29646-4124 | 2006-10-31 |
| 1699851667 | State of South Carolina | Public Health or Welfare | 810 Brown Street, Bishopville, SC 29010 | 2006-10-31 |
| 1114003530 | State of South Carolina | Public Health or Welfare | 1136 Kincaid Bridge Road, Winnsboro, SC 29180 | 2006-10-27 |
| 1841375128 | State of South Carolina | Public Health or Welfare | 1070 S Lake Dr, Suite B, Lexington, SC 29073-3701 | 2006-10-26 |
| 1962587212 | State of South Carolina | Public Health or Welfare | 609 N Townville St, Seneca, SC 29678-2642 | 2006-10-26 |
| 1497830392 | State of South Carolina | Public Health or Welfare | 203 North Page Street, Chesterfield, SC 29709 | 2006-10-26 |
| 1619051893 | State of South Carolina | Public Health or Welfare | 21 Star Rd, Edgefield, SC 29824-4209 | 2006-10-25 |
| Street Address |
101 EXECUTIVE CENTER DR SUITE 215 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-8411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407197312 | Jacquelynn Marie Amick | Early Intervention Provider Agency | 101 Executive Center Dr, Ste. 120, Columbia, SC 29210-8411 | 2013-03-04 |
| 1336480235 | Susan C Oneppo | Case Manager/Care Coordinator | 101 Executive Center Dr, Suite 120, Columbia, SC 29210-8411 | 2013-03-04 |
| 1073853842 | Kathleen S Lawrence | Rehabilitation Counselor | 101 Executive Center Dr, Suite 120, Columbia, SC 29210-8411 | 2013-02-15 |
| 1912246349 | Rachel Lynn Wicker | Case Manager/Care Coordinator | 101 Executive Center Dr, Ste. 120, Columbia, SC 29210-8412 | 2013-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403116 | Pieces 2 Peace Wellness Center, LLC | Community/Behavioral Health | 1105 Belleview St Ste 103, Columbia, SC 29201-1839 | 2020-10-01 |
| 1710507090 | Adahsa Counseling LLC | Community/Behavioral Health | 200 Eascott Pl, Columbia, SC 29229-5502 | 2020-04-16 |
| 1740809862 | Brsi Lp | Community/Behavioral Health | 8901 Farrow Rd, Columbia, SC 29203-8930 | 2020-04-09 |
| 1790324986 | Bransand | Community/Behavioral Health | 402 Nautique Cir, Columbia, SC 29229-7334 | 2020-01-05 |
| 1518513795 | Carolina Family Wellness Clinic, LLC | Community/Behavioral Health | 9153 Two Notch Rd Ste 6, Columbia, SC 29223-5852 | 2019-08-14 |
| 1073174033 | David Hill Consultants, LLC | Community/Behavioral Health | 1818 Pulaski St, Columbia, SC 29201-2381 | 2019-06-21 |
| 1760943005 | Goodecounsel, LLC. | Community/Behavioral Health | 235 Village Walk, Columbia, SC 29209-2166 | 2019-03-28 |
| 1932672961 | Sunshine Counseling Lc | Community/Behavioral Health | 302 Hampton Forest Dr, Columbia, SC 29209-2572 | 2019-01-02 |
| 1285125757 | Carolina Counseling Consultants | Community/Behavioral Health | 7356 Garners Ferry Rd Ste 112, Columbia, SC 29209-2146 | 2018-05-21 |
| 1114414125 | Teal Fire Counseling & Consulting, LLC | Community/Behavioral Health | 10632 Little Patuxent Pkwy Ste 343, Columbia, MD 21044-6239 | 2018-04-16 |
| 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.