Organization Active NPI

SC Department of Mental Health

  • Case Management Agency
  • Rock Hill, SC
National Provider Identifier
1255712964
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SC DEPARTMENT OF MENTAL HEALTH
Practice address
166 Dotson St
Rock Hill, SC 29732-2334
Phone
(803) 327-2012
NPI assigned
Jun 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Miss Jessica Marie Davis, M.A.
Title
Human Services Coordinator
Phone
(803) 327-2012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

166 Dotson St
Rock Hill, SC 29732-2334

Mailing address

166 Dotson St
Rock Hill, SC 29732-2334
Phone (843) 801-1624

National Provider Directory

National Provider Directory

Locations

166 Dotson St
Rock Hill, SC 29732
Phone (803) 327-2012

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1255712964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 DOTSON ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322334",
            "telephone_number": "843-801-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 DOTSON ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322334",
            "telephone_number": "803-327-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "HUMAN SERVICES COORDINATOR",
        "authorized_official_telephone_number": "803-327-2012",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.