Active NPI
Kimberly C. Sanders
- Mental Health Counselor
- Camden, SC
National Provider Identifier
1194771303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- Swcmhc Kershaw CMHC, 2611 Liberty Hill Rd
Camden, SC 29020 - Phone
- (803) 432-5323
- Fax
- (803) 713-3978
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
Swcmhc Kershaw CMHC, 2611 Liberty Hill Rd
Camden, SC 29020
Mailing address
Swcmhc, 215 N. Magnolia St.
Sumter, SC 29151-1946
Phone (803) 775-9364
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194771303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SWCMHC, 215 N. MAGNOLIA ST.",
"city": "SUMTER",
"state": "SC",
"postal_code": "291511946",
"telephone_number": "803-775-9364",
"fax_number": "803-773-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SWCMHC KERSHAW CMHC, 2611 LIBERTY HILL RD",
"city": "CAMDEN",
"state": "SC",
"postal_code": "29020",
"telephone_number": "803-432-5323",
"fax_number": "803-713-3978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "KIMBERLY",
"middle_name": "C.",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, SC
- Kathy Rummage
- Lutricia A Rutledge
- Safe Haven Serenity Care LLC
- Erica Nicole Salmond
- Jamie Jorie Sanders, LMSW
- Sandhills Medical Foundation, Inc. (The Wellness Center at Camden Elementary School)
- Sandhills Medical Foundation, Inc. (Sandhills At Camden Middle School)
- Sandhills Medical Foundation, Inc. (The Wellness Center at Jackson School)
- Sandhills Medical Foundation, Inc. (Sandhills At Continuous Learning Center)
- Sandhills Medical Foundation, Inc. (Sandhills At Pine Tree Hill Elementary School)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.