Organization Active NPI

Companion Counseling and Coaching

Doing business as Companion Counseling

  • Mental Health Counselor
  • Lake Wylie, SC
National Provider Identifier
1003218371
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COMPANION COUNSELING AND COACHING
Doing business as
Companion Counseling
Practice address
9 Executive Court
Suite #103
Lake Wylie, SC 29710-9338
Phone
(803) 265-8343
Fax
(803) 526-7635
NPI assigned
Sep 18, 2014
Last updated
Jun 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Sherita F Davis, ME.D, LPC, LCMHCNPI 1649599747
Title
Owner
Phone
(803) 265-8343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9 Executive Court
Suite #103
Lake Wylie, SC 29710-9338

Mailing address

9 Executive Court
Suite #103
Lake Wylie, SC 29710-9338
Phone (803) 265-8343

Other names 1

  • Companion Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

9 Executive Ct
Ste 103
Lake Wylie, SC 29710
Phone (803) 265-8343

1565 Ebenezer Rd
Ste 139
Rock Hill, SC 29732

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1003218371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EXECUTIVE COURT",
            "address_2": "SUITE #103",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297109338",
            "telephone_number": "803-265-8343",
            "fax_number": "803-526-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EXECUTIVE COURT",
            "address_2": "SUITE #103",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297109338",
            "telephone_number": "803-265-8343",
            "fax_number": "803-526-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION COUNSELING AND COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHERITA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-265-8343",
        "authorized_official_credential": "ME.D, LPC, LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Companion Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Companion Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Wylie, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.