Organization Active NPI

Palmetto Behavioral Health Solutions, LLC

  • Mental Health Counselor
  • Charleston, SC
National Provider Identifier
1104885516
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PALMETTO BEHAVIORAL HEALTH SOLUTIONS, LLC
Practice address
2777 Speissegger Dr
Charleston, SC 29405-8229
Phone
(843) 266-7096
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Steve Filton
Title
Vice President
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X SC Primary

Addresses

Primary practice location

2777 Speissegger Dr
Charleston, SC 29405-8229

Mailing address

2777 Speissegger Dr
Charleston, SC 29405-8229
Phone (843) 266-7096

Other identifiers 1

IdentifierTypeStateIssuer
2986MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070111000260 SC Part B Supplier - Clinic/Group Practice 4688674807 Receives reassigned benefits from 8 practitioners
Practice locations: Charleston, SC

National Provider Directory

National Provider Directory

Locations

4500 Leeds Ave
Ste 219
North Charleston, SC 29405
Phone (843) 745-5178

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1104885516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 SPEISSEGGER DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294058229",
            "telephone_number": "843-266-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 SPEISSEGGER DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294058229",
            "telephone_number": "843-266-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO BEHAVIORAL HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2986",
            "state": "SC"
        }
    ],
    "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 Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.