Individual provider Active NPI

Rex Alan Dula Jr., LPC

  • Professional Counselor
  • Charleston, SC
National Provider Identifier
1194335596
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8948 Issued in SC
Practice address
1 Carriage LN Ste 205
Charleston, SC 29407-6060
Phone
(843) 608-0592
Fax
(854) 800-0322
NPI assigned
Jul 31, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8948 SC
Professional Counselor 101YP2500X 8948 SC Primary

Addresses

Primary practice location

1 Carriage LN Ste 205
Charleston, SC 29407-6060

Mailing address

1 Carriage LN Ste 205
Charleston, SC 29407-6060
Phone (843) 608-0592

Other identifiers 1

IdentifierTypeStateIssuer
PC2743MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507000237 SC Practitioner - Mental Health Counselor 6507206661 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8948SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Mental Health Mental Health CurrentSince Sep 3, 2025 Accepting new patients
Breathe Life Counseling Mental Health CurrentSince Mar 24, 2024 Accepting new patients

Locations

1 Carriage Ln
Ste 205
Charleston, SC 29407
Phone (843) 608-0592

1495 Remount Rd
Ste 3A
North Charleston, SC 29406
Phone (843) 882-6880

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1194335596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CARRIAGE LN STE 205",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076060",
            "telephone_number": "843-608-0592",
            "fax_number": "854-800-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CARRIAGE LN STE 205",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076060",
            "telephone_number": "843-608-0592",
            "fax_number": "854-800-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULA",
        "first_name": "REX",
        "middle_name": "ALAN",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-31",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "8948",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC2743",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.