Individual provider Active NPI

Claudia M Hafer

  • Professional Counselor
  • Summerville, SC
National Provider Identifier
1255513149
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5262 Issued in SC
Practice address
679 Orangeburg Rd
Suite F
Summerville, SC 29483-8914
Phone
(843) 261-2600
Fax
(888) 839-6837
NPI assigned
Dec 3, 2007
Last updated
Dec 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X 5262 SC Primary

Addresses

Primary practice location

679 Orangeburg Rd
Suite F
Summerville, SC 29483-8914

Mailing address

679 Orangeburg Rd
Suite F
Summerville, SC 29483-8914
Phone (843) 261-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409003618 SC Practitioner - Mental Health Counselor 8022456037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Specialists of CharlestonGroup PAC ID 6002971165, 17 clinicians

Practice addresses (Care Compare)

2695 Elms Plantation Blvd
Suite a
North Charleston, SC 29406-7132
Phone (843) 818-1181

2695 Elms Plantation Blvd a
North Charleston, SC 29406-7132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5262SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Specialists of Charleston CurrentSince Jan 31, 2024 Accepting new patients
Pain Specialists of Charleston PA CurrentSince Jan 31, 2024 Accepting new patients

Locations

2695 Elms Plantation Blvd
Ste A
North Charleston, SC 29406
Phone (843) 818-1181

2791 Tricom St
North Charleston, SC 29406
Phone (843) 797-3711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1255513149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 ORANGEBURG RD",
            "address_2": "SUITE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838914",
            "telephone_number": "843-261-2600",
            "fax_number": "888-839-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 ORANGEBURG RD",
            "address_2": "SUITE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838914",
            "telephone_number": "843-261-2600",
            "fax_number": "888-839-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFER",
        "first_name": "CLAUDIA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.