Individual provider Active NPI

John Ronald Bates, LPC-A

  • Professional Counselor
  • Orangeburg, SC
National Provider Identifier
1194471052
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8946 Issued in SC
Practice address
910 Cook Rd
Orangeburg, SC 29118-2124
Phone
(803) 534-2328
NPI assigned
Mar 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7697 SC
Professional Counselor 101YP2500X 8946 SC Primary

Addresses

Primary practice location

910 Cook Rd
Orangeburg, SC 29118-2124

Mailing address

446 Binnicker Bridge Rd
Orangeburg, SC 29115-9055
Phone (803) 570-4165

Other identifiers 1

IdentifierTypeStateIssuer
008533763MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbates@tccada.state.sc.us Direct Tri-County County Commission on Alcohol and Drug Abuse

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7697SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1194471052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 BINNICKER BRIDGE RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291159055",
            "telephone_number": "803-570-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182124",
            "telephone_number": "803-534-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "JOHN",
        "middle_name": "RONALD",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-01",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "7697",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008533763",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbates@tccada.state.sc.us",
            "affiliation": "Y",
            "affiliationName": "Tri-County County Commission on Alcohol and Drug Abuse",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "910 Cook Rd",
            "city": "Orangeburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291182124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.