Individual provider Active NPI

Selina R. Hunt McKinney

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1205264454
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2135 Issued in SC
Practice address
1410 Blanding St Ste 102
Columbia, SC 29201-2967
Phone
(803) 256-2500
Fax
(803) 758-1726
NPI assigned
Oct 25, 2013
Last updated
Dec 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2135 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2135 SC Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 2135 SC

Addresses

Primary practice location

1410 Blanding St Ste 102
Columbia, SC 29201-2967

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320

Other practice location 1

1911 Gadsden St Ste 101
Columbia, SC 29201-6400
Phone (803) 335-5232

Other names 1

  • Selina R Hunt Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140113001054 SC Practitioner - Nurse Practitioner 5294963583 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2135SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Nov 7, 2016 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Nov 7, 2016 Accepting new patients
Future Psych Solutions, LLC PastSince Sep 15, 2015 Accepting new patients
TMS Neurohealth South Carolina LLC PastSince Jun 1, 2019 Accepting new patients

Locations

1410 Blanding St
Ste 102
Columbia, SC 29201
Phone (803) 256-2500

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

3555 Harden Street Ext
Columbia, SC 29203
Phone (803) 434-6410

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1205264454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BLANDING ST STE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012967",
            "telephone_number": "803-256-2500",
            "fax_number": "803-758-1726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 Gadsden St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292016400",
            "country_code": "US",
            "telephone_number": "803-335-5232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "SELINA",
        "middle_name": "R. HUNT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "2135",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "2135",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "SC",
            "license": "2135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELINA",
            "last_name": "HUNT",
            "middle_name": "R",
            "credential": "PHD,APRN,P/MHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.