COLUMBIA AREA MENTAL HEALTH (NPI# 1972863496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972863496 |
| Entity Type | Organization |
| Organization Name | COLUMBIA AREA MENTAL HEALTH |
| Other Organization Name | CARTER J STREET |
| Practice Address |
1135 Carter St Columbia SC 29204-2811 |
| Practice Telephone | 8067861183 |
| Practice Fax Number | 8037546051 |
| Mailing Telephone | 8067861183 |
| Mailing Fax Number | 8037546051 |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-25 |
| Authorized Official Name | MS. SIVI BURNS DANIELS (LPN) |
| Authorized Official Telephone | 8034191526 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | PR 38235 | SC | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Carter J Street | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194076091 | Columbia Area Mental Health | Community/Behavioral Health | 2715 Colonial Dr, Columbia, SC 29203-6818 | 2012-10-02 |
| 1447543269 | Columbia Area Mental Health | Point of Service | 2715 Colonial Dr, Columbia, SC 29203-6818 | 2011-05-26 |
| 1811220569 | Columbia Area Mental Health | Community Based Residential Treatment Facility, Mental Illness | 1800 Colonial Dr, Columbia, SC 29203-6827 | 2009-09-14 |
| Street Address |
1135 CARTER ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679653851 | Lawrence Guy Haynes | Social Worker | 1135 Carter St, Columbia, SC 29204-2811 | 2006-10-16 |
| 1659739019 | Evelyn Sharnise Brown | Social Worker | 1135 Carter St, Columbia, SC 29204-2811 | 2016-02-01 |
| 1083094098 | Shaina Mayekar | Social Worker | 1135 Carter St, Columbia, SC 29204-2811 | 2015-06-04 |
| 1245648252 | Shayla Evans | Counselor | 1135 Carter St, Columbia, SC 29204-2811 | 2014-07-23 |
| 1033527999 | Shola Adebusuyi | Social Worker | 1135 Carter St, Columbia, SC 29204-2811 | 2014-07-23 |
| 1043624976 | Sherri Covington | Case Manager/Care Coordinator | 1135 Carter St, Columbia, SC 29204-2811 | 2014-06-18 |
| 1073947131 | Shekeena Lorraine Nash | Student in an Organized Health Care Education/Training Program | 1135 Carter St, Columbia, SC 29204-2811 | 2013-08-26 |
| 1689007387 | Elizabeth Rose Dugan | Student in an Organized Health Care Education/Training Program | 1135 Carter St, Columbia, SC 29204-2811 | 2013-08-16 |
| 1508208125 | Daniel Zeb Deweese | Counselor | 1135 Carter St, Columbia, SC 29204-2811 | 2013-07-24 |
| 1225376528 | Ashley Denise Harp | Social Worker | 1135 Carter St, Columbia, SC 29204-2811 | 2013-01-21 |
| 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 | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1538554738 | Finding Your Destiny, Incorporated | Community Based Residential Treatment Facility, Mental Illness | 5788 Stevens Forest Road # 34, Columbia, MD 21045 | 2015-04-03 |
| 1811234206 | Carolina Health and Wellness | Community Based Residential Treatment Facility, Mental Illness | 317 Silver Fox Ln, Columbia, SC 29212-2491 | 2013-01-06 |
| 1699006353 | Murry's Community Care Home | Community Based Residential Treatment Facility, Mental Illness | 79 Sal Sue Ct, Columbia, SC 29203-3821 | 2010-01-20 |
| 1356584155 | A & A Residential Care Facility | Community Based Residential Treatment Facility, Mental Illness | 121 S Highland Forest Dr, Columbia, SC 29203-1915 | 2009-04-09 |
| 1215177076 | Whitaker's Cch | Community Based Residential Treatment Facility, Mental Illness | 79 Sal Sue Court, Columbia, SC 29203 | 2009-03-05 |
| 1578719043 | Rockhaven Cch | Community Based Residential Treatment Facility, Mental Illness | 524 Rockhaven Dr, Columbia, SC 29223-7805 | 2008-08-14 |
| 1750999421 | Hilda's Place Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 4994 Beaverbrook Rd, Columbia, MD 21044-1408 | 2020-07-20 |
| 1861014938 | Regan Moore Bernardoni | Community Based Residential Treatment Facility, Mental Illness | 2122 Circle Dr, Columbia, TN 38401-4430 | 2020-05-12 |
| 1407477664 | Rosanna Candace Duke | Community Based Residential Treatment Facility, Mental Illness | 2122 Circle Dr, Columbia, TN 38401-4430 | 2020-04-29 |
| 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.