NPIMap

Organization Active NPI

South Carolina Dept of Mental Health Accounting Office

Doing business as Beckman Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, SC
National Provider Identifier
1124135009
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Doing business as
Beckman Mental Health
Practice address
1547 Parkway
Greenwood, SC 29646-4081
Phone
(642) 238-3318
Fax
(864) 223-3706
NPI assigned
Aug 24, 2006
Last updated
Mar 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Tina Cogdill
Title
Qa Adm Assist
Phone
(864) 229-7120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1547 Parkway
Greenwood, SC 29646-4081

Mailing address

1547 Parkway
Greenwood, SC 29646-4081
Phone (864) 229-7120

Other identifiers 1

IdentifierTypeStateIssuer
421504MedicaidSC

Other names 1

  • Beckman Mental Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031107000041 SC Part B Supplier - Clinic/Group Practice 9032021175 Receives reassigned benefits from 243 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: McCormick, SC; Greenwood, SC; Hartsville, SC; Lake City, SC; Lancaster, SC; Lexington, SC; Manning, SC; Marion, SC…

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory

Locations

110 Whitehall St
Abbeville, SC 29620
Phone (864) 459-9671

968 Medical Ridge Rd
Clinton, SC 29325
Phone (864) 833-7375

3 Pecan Park
Edgefield, SC 29824
Phone (803) 637-5338

1305 Phoenix St
Greenwood, SC 29646
Phone (864) 943-9592

1547 Parkway
Greenwood, SC 29646
Phone (864) 223-8331

1547 Parkway
Ste 100
Greenwood, SC 29646
Phone (864) 223-8331

1547 Parkway
Ste 200
Greenwood, SC 29646
Phone (864) 223-8331

212 Overland Dr
Greenwood, SC 29646
Phone (864) 223-8608

155 N Mine St
Mc Cormick, SC 29835
Phone (864) 465-2090

2220 Harrington St
Newberry, SC 29108
Phone (864) 276-0794

206 Travis Ave
Saluda, SC 29138
Phone (864) 445-8122

305 Travis Ave
Saluda, SC 29138
Phone (864) 445-8431

Practitioners & affiliated clinicians

Practitioners 220

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 220

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1124135009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 PARKWAY",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464081",
            "telephone_number": "864-229-7120",
            "fax_number": "864-229-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 PARKWAY",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464081",
            "telephone_number": "642-238-3318",
            "fax_number": "864-223-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "COGDILL",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "QA ADM ASSIST",
        "authorized_official_telephone_number": "864-229-7120"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421504",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beckman Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.