Organization Active NPI

Carolina Assessment Services, LLC

  • Mental Health Counselor
  • Columbia, SC
National Provider Identifier
1235759390
Registry record updated Apr 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CAROLINA ASSESSMENT SERVICES, LLC
Practice address
3604 Fernandina Rd Ste G
Columbia, SC 29210-5221
Phone
(803) 200-1034
Fax
(803) 219-2803
NPI assigned
Apr 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2020

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

Authorized official

Name
Ashley Faith Waddington, LPC, CRCNPI 1376186270
Title
Mental Health Therapist
Phone
(419) 357-4174

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

3604 Fernandina Rd Ste G
Columbia, SC 29210-5221

Mailing address

3604 Fernandina Rd Ste G
Columbia, SC 29210-5221
Phone (803) 200-1034

National Provider Directory

National Provider Directory

Locations

3604 Fernandina Rd
Ste G
Columbia, SC 29210
Phone (419) 357-4174

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": "1587254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587254400000",
    "number": "1235759390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 FERNANDINA RD STE G",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105221",
            "telephone_number": "803-200-1034",
            "fax_number": "803-219-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 FERNANDINA RD STE G",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105221",
            "telephone_number": "803-200-1034",
            "fax_number": "803-219-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ASSESSMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-19",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A",
        "authorized_official_last_name": "WADDINGTON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "419-357-4174",
        "authorized_official_credential": "LPC, CRC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.