Individual provider Active NPI

Roberta Fraga-Silver, LMFT

  • Mental Health Counselor
  • Moncks Corner, SC
National Provider Identifier
1093432049
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7929 Issued in SC
Practice address
1714 S Live Oak Dr
Moncks Corner, SC 29461-7215
Phone
(843) 879-4121
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7929 SC Primary

Addresses

Primary practice location

1714 S Live Oak Dr
Moncks Corner, SC 29461-7215

Mailing address

103 Kensington PL
Summerville, SC 29485-8626
Phone (702) 300-2882

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL na Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710003786 SC Practitioner - Marriage and Family Therapist 0446795801 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7929SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Jun 1, 2024 Accepting new patients
Musc Community Physicians CurrentSince Jun 1, 2024 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Organizations & group practices 2

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": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1093432049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 KENSINGTON PL",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858626",
            "telephone_number": "702-300-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 S LIVE OAK DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294617215",
            "telephone_number": "843-879-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGA-SILVER",
        "first_name": "ROBERTA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "endpointDescription": "na",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1714 S Live Oak Dr",
            "city": "Moncks Corner",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294617215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

Verify at the official NPI Registry.