Organization Active NPI

Counseling Sumter

  • Clinical Social Worker
  • Sumter, SC
National Provider Identifier
1073987210
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9522 Issued in SC
Legal business name
COUNSELING SUMTER
Practice address
2645A Hardee CV
Sumter, SC 29150
Phone
(803) 720-9465
Fax
(803) 526-7067
NPI assigned
Nov 28, 2015
Last updated
Jan 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Mrs. Gayla Partin, LISW-CPNPI 1730420050
Title
Owner/Counselor
Phone
(803) 720-9465

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
Clinical Social Worker 1041C0700X 9522 SC Primary

Addresses

Primary practice location

2645A Hardee CV
Sumter, SC 29150

Mailing address

2645A Hardee CV
Sumter, SC 29150-1893
Phone (803) 720-9465

Other practice location 1

528 Broad St
Suite 202
Sumter, SC 29150-3368
Phone (803) 720-9465

Other practice location 2

528 Broad St
Suite 202
Sumter, SC 29150-3368
Phone (803) 720-9465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180103002641 SC Part B Supplier - Clinic/Group Practice 9739447301 Receives reassigned benefits from 4 practitioners
Practice locations: Sumter, SC

National Provider Directory

National Provider Directory

Locations

2645A Hardee Cv
Sumter, SC 29150
Phone (803) 720-9465

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1448668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1073987210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645A HARDEE CV",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501893",
            "telephone_number": "803-720-9465",
            "fax_number": "803-526-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645A HARDEE CV",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29150",
            "telephone_number": "803-720-9465",
            "fax_number": "803-526-7067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 Broad St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291503368",
            "country_code": "US",
            "telephone_number": "803-720-9465",
            "fax_number": "803-526-7067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "528 Broad St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291503368",
            "country_code": "US",
            "telephone_number": "803-720-9465",
            "fax_number": "803-526-7067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING SUMTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-28",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "PARTIN",
        "authorized_official_first_name": "GAYLA",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "803-720-9465",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.