Organization Active NPI

Stewart Behavioral Health

Doing business as Martha K Stewart

  • Professional Counselor
  • Florence, SC
National Provider Identifier
1215475884
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
STEWART BEHAVIORAL HEALTH
Doing business as
Martha K Stewart
Stewart Behavioral Health
Practice address
525 S Dargan St
Florence, SC 29506-2549
Phone
(843) 407-5419
Fax
(843) 407-7274
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Ms. Martha Kay Stewart, LPCNPI 1073820577
Title
Owner
Phone
(843) 407-5419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

525 S Dargan St
Florence, SC 29506-2549

Mailing address

525 S Dargan St
Florence, SC 29506-2549
Phone (843) 407-5419

Other identifiers 1

IdentifierTypeStateIssuer
GP794ZMedicaidSC

Other names 2

  • Martha K Stewart Doing business as
  • Stewart Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1215475884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S DARGAN ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062549",
            "telephone_number": "843-407-5419",
            "fax_number": "843-407-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S DARGAN ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062549",
            "telephone_number": "843-407-5419",
            "fax_number": "843-407-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-407-5419",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP794Z",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martha K Stewart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stewart Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.