Individual provider Active NPI

Glenn Peter Zaepfel, PH.D

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1033289863
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
456 Issued in SC
Practice address
409 Evelyn Dr
Columbia, SC 29210-5212
Phone
(803) 216-0850
Fax
(803) 216-0420
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 456 SC Primary
Psychologist 103T00000X 488 SC

Addresses

Primary practice location

409 Evelyn Dr
Columbia, SC 29210-5212

Mailing address

409 Evelyn Dr
Columbia, SC 29210-5212
Phone (803) 216-0850

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
I20040220000588 SC Practitioner - Clinical Psychologist 0042105744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barnabas Behavioral Healthcare LLCGroup PAC ID 7315192903, 13 clinicians

Practice addresses (Care Compare)

409 Evelyn Dr
Columbia, SC 29210-5212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
456SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Behavioral Healthcare, LLC Professional CurrentSince Jan 2, 2013 Accepting new patients
Deep Roots Therapy, LLC PastSince Jan 2, 2013 Accepting new patients

Locations

409 Evelyn Dr
Columbia, SC 29210
Phone (803) 216-0850

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1033289863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 EVELYN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105212",
            "telephone_number": "803-216-0850",
            "fax_number": "803-216-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 EVELYN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105212",
            "telephone_number": "803-216-0850",
            "fax_number": "803-216-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAEPFEL",
        "first_name": "GLENN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "456",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SC",
            "license": "488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.