Active NPI
Deborah L. Grant-James, L.P.C.
- Professional Counselor
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1633
- Practice address
- 3604 Fernandina Rd
Columbia, SC 29210-5221 - Phone
- (803) 750-9400
- Fax
- (803) 407-3517
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1633 | SC | Primary |
Addresses
Primary practice location
3604 Fernandina Rd
Columbia, SC 29210-5221
Mailing address
130 Colnbrook Rd
Irmo, SC 29063-2511
Phone (803) 407-3517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WP9969 | Medicaid | SC |
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 |
|---|---|---|---|---|
| I20241230003464 | SC | Practitioner - Mental Health Counselor | 5698202802 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Brightside Medical PC
Practice addresses (Care Compare)
1043 Blockade Runner Pkwy
Summerville, SC 29485-6317
Phone (833) 750-2211
4464 Devine St
Suite M
Columbia, SC 29205-3605
Phone (415) 360-3348
PO Box
Suite 3212
Summerville, SC 29484-3212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1633 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counsellinks, LLC | Professional | Current | Accepting new patients |
| Brightside Medical, P.C. | Current | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
4464 Devine St
Ste M
Columbia, SC 29205
Phone (803) 386-7146
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": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104853530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 COLNBROOK RD",
"city": "IRMO",
"state": "SC",
"postal_code": "290632511",
"telephone_number": "803-407-3517",
"fax_number": "803-407-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3604 FERNANDINA RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292105221",
"telephone_number": "803-750-9400",
"fax_number": "803-407-3517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT-JAMES",
"first_name": "DEBORAH",
"middle_name": "L.",
"name_prefix": "Prof.",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "1633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WP9969",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.