Organization Active NPI

McCullough Strives

  • Community/Behavioral Health Agency
  • Orangeburg, SC
National Provider Identifier
1003256041
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5390 Issued in SC
Legal business name
MCCULLOUGH STRIVES
Practice address
160 Northlake Dr
Orangeburg, SC 29118-9384
Phone
(803) 386-2395
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Penney McCullough, 8033862395
Title
Counselor
Phone
(803) 386-2395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5390 SC Primary

Addresses

Primary practice location

160 Northlake Dr
Orangeburg, SC 29118-9384

Mailing address

160 Northlake Dr
Orangeburg, SC 29118-9384
Phone (803) 386-2395

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1003256041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NORTHLAKE DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291189384",
            "telephone_number": "803-386-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NORTHLAKE DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291189384",
            "telephone_number": "803-386-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOUGH STRIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "PENNEY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "803-386-2395",
        "authorized_official_credential": "8033862395"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "5390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.