Organization Active NPI

Outspoken Counseling and Consulting LLC

  • Community/Behavioral Health Agency
  • Columbia, SC
National Provider Identifier
1063828333
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OUTSPOKEN COUNSELING AND CONSULTING LLC
Practice address
9005 Two Notch Rd
Suite 33
Columbia, SC 29223-5850
Phone
(803) 386-9536
NPI assigned
Jul 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Carmen Jimenez, LCSW, LISW
Title
Clinical Director
Phone
(980) 275-2505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9005 Two Notch Rd
Suite 33
Columbia, SC 29223-5850

Mailing address

PO Box 8804
Columbia, SC 29202-8804
Phone (704) 222-2810

Other identifiers 1

IdentifierTypeStateIssuer
SW1128MedicaidSC

National Provider Directory

National Provider Directory

Locations

3540 Wheeler Rd
Ste 406
Augusta, GA 30909

9005 Two Notch Rd
Ste 33
Columbia, SC 29223
Phone (803) 386-9536

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1063828333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8804",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292028804",
            "telephone_number": "704-222-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 TWO NOTCH RD",
            "address_2": "SUITE 33",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235850",
            "telephone_number": "803-386-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTSPOKEN COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "980-275-2505",
        "authorized_official_credential": "LCSW, LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1128",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.