NPIMap

Organization Active NPI

Northeast Columbia Psychotherapy Practice Inc.

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1255390001
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LISW-CP 134 Issued in SC
Legal business name
NORTHEAST COLUMBIA PSYCHOTHERAPY PRACTICE INC.
Practice address
9 Poachers Lane
Columbia, SC 29223-3014
Phone
(803) 736-7133
NPI assigned
Mar 21, 2006
Last updated
Aug 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Beth Troy Maris, MSWNPI 1760450381
Title
Therapist/President
Phone
(803) 736-7133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LISW-CP 134 SC Primary

Addresses

Primary practice location

9 Poachers Lane
Columbia, SC 29223-3014

Mailing address

9 Poachers Lane
Columbia, SC 29223-3014
Phone (803) 736-7133

Other names 1

  • Norheast Columbia Psychotherapy Practice, Inc Other name

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1255390001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 POACHERS LANE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292233014",
            "telephone_number": "803-736-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 POACHERS LANE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292233014",
            "telephone_number": "803-736-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST COLUMBIA PSYCHOTHERAPY PRACTICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "MARIS",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "803-736-7133",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "LISW-CP 134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norheast Columbia Psychotherapy Practice, Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Norheast Columbia Psychotherapy Practice, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 11, 2022; 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.