Access Therapy Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

945 Issued in NC

Legal business name

ACCESS THERAPY SERVICES

Practice address

409 Arrowood Ave
Lancaster, SC 29720-1503

Phone

(704) 813-4555

NPI assigned

Nov 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Annie Fongheiser, MA, MS, MAC, LCAS

Title

Owner

Phone

(704) 813-4555

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1003069188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 HWY 16 N.",
            "address_2": "SUITE 103",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280367314",
            "telephone_number": "704-813-4555",
            "fax_number": "704-296-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ARROWOOD AVE",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201503",
            "telephone_number": "704-813-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "FONGHEISER",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-813-4555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, MS, MAC, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6112011",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abbott Rehabilitation Center LLC
• Erica Hilliard Abbott, RPT
• James Robin Abbott Jr., RPT
• Access Mental Health Agency of SC
• Achieving Dreams LLC
• Sandibel Sarely Acosta
• Active SC One, Inc.
• Erica Nicole Adams, FNP-BC
• Esther Adedokun, NP

• All providers in Lancaster, SC
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.