Organization Active NPI

Positive Feedback Professional Counseling Associates

  • Community/Behavioral Health Agency
  • North Charleston, SC
National Provider Identifier
1053524934
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OTP063 Issued in SC
Legal business name
POSITIVE FEEDBACK PROFESSIONAL COUNSELING ASSOCIATES
Practice address
5269 Rivers Ave
North Charleston, SC 29406-6311
Phone
(843) 744-1447
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Randy Keith Santana, M.A., LPC, NCC, CACINPI 1407977788
Title
Co-Owner
Phone
(843) 744-1447

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
Community/Behavioral Health Agency 251S00000X OTP063 SC Primary

Addresses

Primary practice location

5269 Rivers Ave
North Charleston, SC 29406-6311

Mailing address

5269 Rivers Ave
North Charleston, SC 29406-6311

National Provider Directory

National Provider Directory

Locations

5269 Rivers Ave
North Charleston, SC 29406
Phone (843) 744-1447

Practitioners & affiliated clinicians

Practitioners 2

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053524934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5269 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5269 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066311",
            "telephone_number": "843-744-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE FEEDBACK PROFESSIONAL COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "843-744-1447",
        "authorized_official_credential": "M.A., LPC, NCC, CACI"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "OTP063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.