Active NPI
Mary Elizabeth Ford
- Professional Counselor
- Lexington, SC
National Provider Identifier
1215560479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6921
- Practice address
- 130 Gibson Rd
Lexington, SC 29072-3429 - Phone
- (803) 814-5559
- Fax
- (803) 878-7600
- NPI assigned
- Feb 17, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6921 | SC | Primary |
Addresses
Primary practice location
130 Gibson Rd
Lexington, SC 29072-3429
Mailing address
130 Gibson Rd
Lexington, SC 29072-3429
Phone (803) 814-5559
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6921 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1215560479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 GIBSON RD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290723429",
"telephone_number": "803-814-5559",
"fax_number": "803-878-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 GIBSON RD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290723429",
"telephone_number": "803-814-5559",
"fax_number": "803-878-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-17",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.