NPIMap

Organization Active NPI

Avondale Therapy

  • Counselor
  • Charleston, SC
National Provider Identifier
1013375708
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
AVONDALE THERAPY
Practice address
845 Savannah Hwy
Suite 1C
Charleston, SC 29407-7202
Phone
(843) 870-0278
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Elise RichardNPI 1831415900
Title
Owner
Phone
(843) 870-0278

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

845 Savannah Hwy
Suite 1C
Charleston, SC 29407-7202

Mailing address

845 Savannah Hwy
Suite 1C
Charleston, SC 29407-7202

Other identifiers 1

IdentifierTypeStateIssuer
PC1528MedicaidSC

National Provider Directory

National Provider Directory

Locations

845 Savannah Hwy
Ste 1C
Charleston, SC 29407
Phone (843) 870-0278

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1013375708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 SAVANNAH HWY",
            "address_2": "SUITE 1C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 SAVANNAH HWY",
            "address_2": "SUITE 1C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077202",
            "telephone_number": "843-870-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONDALE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-870-0278"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1528",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.