Organization Active NPI

Paragon Wellness

  • Adult Mental Health Clinic/Center
  • Columbia, SC
National Provider Identifier
1154183499
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PARAGON WELLNESS
Practice address
7 Conifer CT
Columbia, SC 29229-9569
Phone
(803) 413-5586
NPI assigned
Jan 23, 2024
Last updated
Jun 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Josetta Sumter-Cobb, LPC-S
Title
Owner/Clinical Director/Therapist
Phone
(803) 413-5586

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

7 Conifer CT
Columbia, SC 29229-9569

Mailing address

7 Conifer CT
Columbia, SC 29229-9569
Phone (803) 413-5586

National Provider Directory

National Provider Directory

Locations

209 Dawson Rd
Ste 1
Columbia, SC 29223
Phone (839) 228-5128

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1154183499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CONIFER CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299569",
            "telephone_number": "803-413-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CONIFER CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299569",
            "telephone_number": "803-413-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "SUMTER-COBB",
        "authorized_official_first_name": "JOSETTA",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "803-413-5586",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.