Active NPI
National Mentor FC LLC
- Community/Behavioral Health Agency
- Columbia, SC
National Provider Identifier
1003116237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NATIONAL MENTOR FC LLC
- Practice address
- 1800 Saint Julian PL Ste 200
Columbia, SC 29204-2480 - Phone
- (800) 388-5150
- NPI assigned
- Oct 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Patricia Rodenberg-Roberts
- Title
- Chief Regulatory Officer Sr Asst GC
- Phone
- (952) 836-2234
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Foster Care Agency | 253J00000X |
Addresses
Primary practice location
1800 Saint Julian PL Ste 200
Columbia, SC 29204-2480
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Phone (800) 388-5150
Other practice location 1
454 Anderson Rd S
Rock Hill, SC 29730-3392
Phone (800) 388-5150
Other names 2
- North Carolina Mentor
- South Carolina Mentor
National Provider Directory
National Provider DirectoryLocations
1800 Saint Julian Pl
Ste 200
Columbia, SC 29204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782777600000",
"number": "1003116237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 FRANCE AVE S STE 350",
"city": "EDINA",
"state": "MN",
"postal_code": "554351810",
"telephone_number": "800-388-5150",
"fax_number": "952-922-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SAINT JULIAN PL STE 200",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042480",
"telephone_number": "800-388-5150"
}
],
"practiceLocations": [
{
"address_1": "454 Anderson Rd S",
"address_purpose": "LOCATION",
"city": "Rock Hill",
"state": "SC",
"postal_code": "297303392",
"country_code": "US",
"telephone_number": "800-388-5150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NATIONAL MENTOR FC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-21",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A",
"authorized_official_last_name": "RODENBERG-ROBERTS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "CHIEF REGULATORY OFFICER SR ASST GC",
"authorized_official_telephone_number": "952-836-2234"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Carolina Mentor",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "South Carolina Mentor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.