Individual provider Active NPI

Deborah L. Grant-James, L.P.C.

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1104853530
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1633 Issued in SC
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
WP9969MedicaidSC

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
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 274 clinicians

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

LicenseStateTypeSpecialty
1633SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Counsellinks, LLC Professional CurrentSince Sep 25, 2024 Accepting new patients
Brightside Medical, P.C. CurrentSince Sep 1, 2025 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

Verify at the official NPI Registry.