Individual provider Active NPI

Bianca Cabit Otterbein, M.ED., LPC, CACI

  • Professional Counselor
  • Aiken, SC
National Provider Identifier
1245588722
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5381 Issued in SC
Practice address
1135 Gregg Hwy
Aiken, SC 29801-6341
Phone
(803) 641-7700
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11021412 SC
Professional Counselor 101YP2500X 5381 SC Primary

Addresses

Primary practice location

1135 Gregg Hwy
Aiken, SC 29801-6341

Mailing address

3219 Colonial Dr
Aiken, SC 29801-3022
Phone (803) 552-2148

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
11021412SCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1245588722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 COLONIAL DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013022",
            "telephone_number": "803-552-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 GREGG HWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016341",
            "telephone_number": "803-641-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTERBEIN",
        "first_name": "BIANCA",
        "middle_name": "CABIT",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LPC, CACI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "11021412",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.