Individual provider Active NPI

Ebony Langhorne

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1013560390
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6918 Issued in SC
Practice address
200 Springtree Dr Ste 200
Columbia, SC 29223-8614
Phone
(803) 722-4975
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6918 SC Primary

Addresses

Primary practice location

200 Springtree Dr Ste 200
Columbia, SC 29223-8614

Mailing address

1024 Heriott St
Manning, SC 29102-5919

Other practice location 1

1024 Heriott St
Manning, SC 29102-5919
Phone (803) 339-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260519000809 SC Practitioner - Mental Health Counselor 1850860958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of South Carolina School of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1208 N Dogwood Dr
Surfside Beach, SC 29575-4243

7201 Brookfield Rd
Columbia, SC 29223-2215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6918SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Miss Ebony LPC CurrentSince Feb 4, 2024 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1013560390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 HERIOTT ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291025919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SPRINGTREE DR STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292238614",
            "telephone_number": "803-722-4975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1024 Heriott St",
            "address_purpose": "LOCATION",
            "city": "Manning",
            "state": "SC",
            "postal_code": "291025919",
            "country_code": "US",
            "telephone_number": "803-339-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGHORNE",
        "first_name": "EBONY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.