Active NPI
Margaret Sudol, LMFT
- Marriage & Family Therapist
- Charleston, SC
National Provider Identifier
1093764995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4475
- Practice address
- 3030 Ashley Town Center Dr
Charleston, SC 29414-5664 - Phone
- (843) 817-8443
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4475 | SC | Primary |
Addresses
Primary practice location
3030 Ashley Town Center Dr
Charleston, SC 29414-5664
Mailing address
3030 Ashley Town Center Drive
PO Box 80157
Charleston, SC 29414-6060
Phone (843) 817-8443
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251023002876 | SC | Practitioner - Marriage and Family Therapist | 4587152228 | Practice locations: Charleston, SC |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2327 Watchtower Lane
Charleston, SC 29414-7803
3030 Ashley Town Ctr Dr
Suite 203B
Charleston, SC 29414-5678
Phone (843) 817-8443
PO Box
Suite 80157
Charleston, SC 29416-0157
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4475 | SC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1093764995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 ASHLEY TOWN CENTER DRIVE",
"address_2": "PO BOX 80157",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294146060",
"telephone_number": "843-817-8443",
"fax_number": "843-573-5030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 ASHLEY TOWN CENTER DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145664",
"telephone_number": "843-817-8443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDOL",
"first_name": "MARGARET",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "4475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.