Terri B. Godbolt, MENTAL HEALTH COUNSE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1324 Commerce Drive
Dillon, SC 29536

Phone

(843) 774-3351

Fax

(843) 774-2622

NPI assigned

Aug 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Carolina Dept of Mental Health Accounting Office

  dba Midlands Crisis Stabilization Center

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD (past)
• South Carolina Dept of Mental Health Accounting Office

  dba Tricounty Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bennetsville, SC
  • NPI 1609979640
  NPD (past)

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1134802853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "29512",
            "telephone_number": "843-544-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 COMMERCE DRIVE",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "29536",
            "telephone_number": "843-774-3351",
            "fax_number": "843-774-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODBOLT",
        "first_name": "TERRI",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "MENTAL HEALTH COUNSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405127",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey R Geer, OD
• Tracy Privette George, F.N.P.
• Ryan Douglas Gilbert, M.D.
• Demetrice Nichole Gist, RN
• Vicki Godbold
• Brittany Godwin
• John Graham
• Grainger Speech Language Pathology Services Inc (Therapy Solutions of Dillon)
• April McDuffie Grainger, MS, CCC-SLP
• Amber Graves

• Mental Health Counselor in Dillon, SC
• Providers in Dillon, 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 Aug 9, 2023; 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.