Columbia Northeast Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3157 Issued in SC

Legal business name

COLUMBIA NORTHEAST COUNSELING SERVICES, LLC

Practice address

9570 Two Notch Rd
Suite #8
Columbia, SC 29223-4308

Phone

(803) 782-5556

Fax

(803) 788-0914

NPI assigned

Mar 13, 2017

Organization subpart

No

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

Authorized official

Name

Suzanne W Peebles, M.ED, LPCNPI 1730213166

Title

Owner/Mental Health Counselor

Phone

(803) 782-5556

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne Wilson Peebles, LPC

  • Mental Health Counselor
  • Columbia, SC
  • NPI 1730213166
  NPD (past) Authorized official

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1073054847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25453",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292245453",
            "telephone_number": "803-782-5556",
            "fax_number": "803-788-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 TWO NOTCH RD",
            "address_2": "SUITE #8",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234308",
            "telephone_number": "803-782-5556",
            "fax_number": "803-788-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA NORTHEAST COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "PEEBLES",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "803-782-5556",
        "authorized_official_credential": "M.ED, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "3157",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Medical Group
• Columbia Medical Supplies, LLC
• Columbia Nephrology Associates PA
• Columbia Nephrology Associates PA
• Columbia Neurological Associates, PA
• Columbia Northeast Kidney Center LLC
• Columbia Oral Health Clinic
• Columbia Orthopaedic & Spine Institute LLC
• Columbia Orthopaedic Specialists LLC
• Columbia Orthopaedic Specialists LLC

• Professional Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.