Individual provider Active NPI

Austin Ty Christian, MSW

  • Social Worker
  • Lexington, SC
National Provider Identifier
1043910706
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
305 Palmetto Park Blvd
Lexington, SC 29072-7872
Phone
(803) 996-1500
NPI assigned
Mar 9, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

305 Palmetto Park Blvd
Lexington, SC 29072-7872

Mailing address

305 Palmetto Park Blvd
Lexington, SC 29072-7872
Phone (803) 996-1500

Other practice location 1

600 Summerland Ave
Batesburg Leesville, SC 29006-1496
Phone (803) 532-9251

Other practice location 2

119A Malibu Dr
Batesburg Leesville, SC 29006-2121
Phone (803) 532-4570

Other practice location 3

425 Shealy Rd
Batesburg Leesville, SC 29006-8783
Phone (803) 532-3831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients

Organizations & group practices 1

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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1043910706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PALMETTO PARK BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727872",
            "telephone_number": "803-996-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PALMETTO PARK BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727872",
            "telephone_number": "803-996-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Summerland Ave",
            "address_purpose": "LOCATION",
            "city": "Batesburg Leesville",
            "state": "SC",
            "postal_code": "290061496",
            "country_code": "US",
            "telephone_number": "803-532-9251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119A Malibu Dr",
            "address_purpose": "LOCATION",
            "city": "Batesburg Leesville",
            "state": "SC",
            "postal_code": "290062121",
            "country_code": "US",
            "telephone_number": "803-532-4570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Shealy Rd",
            "address_purpose": "LOCATION",
            "city": "Batesburg Leesville",
            "state": "SC",
            "postal_code": "290068783",
            "country_code": "US",
            "telephone_number": "803-532-3831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "AUSTIN",
        "middle_name": "TY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.