NPIMap

Organization Active NPI

Reciprocate1906, LLC

  • Case Management Agency
  • Columbia, SC
National Provider Identifier
1255732871
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RECIPROCATE1906, LLC
Practice address
4611 Hard Scrabble Rd
Columbia, SC 29229-8584
Phone
(954) 496-5641
NPI assigned
Sep 15, 2014
Organization subpart
Yes
Parent organization
RECIPROCATE1906, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Dustin Gollopp
Title
Ceo
Phone
(954) 496-5641

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4611 Hard Scrabble Rd
Columbia, SC 29229-8584

Mailing address

4611 Hard Scrabble Rd
Columbia, SC 29229-8584
Phone (954) 496-5641

National Provider Directory

National Provider Directory
Tax ID family
Reciprocate 1906 LLC4 organizations share this tax ID, including this one
Part of
Reciprocate 1906 LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4611 Hard Scrabble Rd
Columbia, SC 29229
Phone (803) 736-9599

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1255732871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 HARD SCRABBLE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298584",
            "telephone_number": "954-496-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 HARD SCRABBLE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298584",
            "telephone_number": "954-496-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECIPROCATE1906, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RECIPROCATE1906, LLC",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "GOLLOPP",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-496-5641"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 15, 2014; 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.