De'Andrea Coulter

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

120 E 5TH North St Ste 120a
Summerville, SC 29483-6822

Phone

(843) 460-2605

NPI assigned

Apr 15, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1194468355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 FAIRFAX BLVD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 5TH NORTH ST STE 120A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836822",
            "telephone_number": "843-460-2605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Fairfax Blvd",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294455731",
            "country_code": "US",
            "telephone_number": "843-830-2546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COULTER",
        "first_name": "DE'ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "de.coulter@bit-aba.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "191 Fairfax Blvd",
            "city": "Goose Creek",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294455731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Brown Corvino, PHARM D
• Patricia L Costilla, LPC
• Shannon Nicole Cote, COTA/L
• Christina Marie Cottrell, MSN, APRN, FNP-C
• Maura Elizabeth Coughlin
• Counseling and Consultation Services of the Carolinas, LLC
• Erin Courtney, LISW-CP
• Covenant Counseling Center
• Covenant Counseling of South Carolina
• Covenant Counselors, LLC

• Behavior Technician in Summerville, SC
• Providers in Summerville, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.