Ann Mac Calloway Prevost, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5190 Issued in SC

Practice address

2917 Millwood Ave Ste B
Columbia, SC 29205-1334

Phone

(803) 464-7333

NPI assigned

Apr 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Post Trauma Resources, LLC

  • Mental Health Counselor
  • Columbia, SC
  • NPI 1023130150
  NPD (past)

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1093958431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 MILLWOOD AVE STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051334",
            "telephone_number": "803-464-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 MILLWOOD AVE STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051334",
            "telephone_number": "803-464-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVOST",
        "first_name": "ANN MAC",
        "middle_name": "CALLOWAY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip John Prest, D.O.
• Prestige Personal Care Services, LLC
• Brenda Joyce Preston, M.ED.
• Crystal Preston, LMSW
• Lisa Mackey Preston, LISW-CP
• Connor Prevost
• Jerome Prezzy, MASTER'S OF ARTS
• Shirley Price Barnes, M.D.
• Andrew Martin Price, M.D.
• Betsy Marie Price, LMSW

• 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 Apr 13, 2020; 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.