Madeline Moran

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8131 Issued in SC

Practice address

1817 Pickens St
Columbia, SC 29201-2630

Phone

(803) 393-9710

NPI assigned

Nov 26, 2019

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 13, 2025 through Feb 13, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Soda City Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, SC
  • NPI 1265252290
  Authorized official Same address or phone

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1003452988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 PICKENS ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012630",
            "telephone_number": "843-997-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 PICKENS ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012630",
            "telephone_number": "803-393-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MADELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "8131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego Morales Jr.
• Ruth Ann Morales
• Shannon Michelle Morales
• Jamison McKenzie Moran
• Joseph J Moran, DPM
• Kristen L Morand, M.A.,LPC
• E'Mya Morant
• Jessica Morant
• More Than Hair Boutique LLC
• Jewel Marie Moreau, MD

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.