Choices Counseling and Advocacy Center, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5155 Issued in SC

Legal business name

CHOICES COUNSELING AND ADVOCACY CENTER, LLC

Practice address

3969 Southeastern Way
West Columbia, SC 29169

Phone

(803) 851-4049

NPI assigned

Jun 22, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Johnson, LPC

Title

Clinical Director

Phone

(803) 851-4049

Specialties & licenses 6

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Jessica Lyn Debolt

  • Counselor
  • West Columbia, SC
  • NPI 1760150700
  NPD (past)
• John Joseph Marie Delany, LPC-A, MA, NCC

  • Mental Health Counselor
  • West Columbia, SC
  • NPI 1548812571
  NPD (past)

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1124512132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3969 SOUTHEASTERN WAY",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692442",
            "telephone_number": "803-851-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3969 SOUTHEASTERN WAY",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-851-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES COUNSELING AND ADVOCACY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "803-851-4049",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5155",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "SC",
            "license": "5155",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "5155",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "SC",
            "license": "5155",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "SC",
            "license": "5155",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "SC",
            "license": "5155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1019",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jelinda S Cherry Stokes, PMHNP-BC
• Kyle Edward Childers
• Chirowellness
• Carol Hyun Choe, MD
• Choice Pharmacies
• Nabi Chowdhury, M.D.
• Christopher C. Newman DMD PA
• Deno Stavros Chrysostom, DMD
• Peter Ogbuu Chukwu, MD
• Brian Moonkyong Chung, M.D.

• Mental Health Counselor in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.