Organization Active NPI

Essential Counseling Services LLC

  • Professional Counselor
  • Dalzell, SC
National Provider Identifier
1265167563
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ESSENTIAL COUNSELING SERVICES LLC
Doing business as
Essential Counseling Services LLC
Practice address
5640 Teakwood Dr
Dalzell, SC 29040-9652
Phone
(803) 236-1448
NPI assigned
Jul 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Renee M Shaw, LPCNPI 1659321503
Title
Mental Health Counselor
Phone
(803) 236-1448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

5640 Teakwood Dr
Dalzell, SC 29040-9652

Mailing address

5640 Teakwood Dr
Dalzell, SC 29040-9652
Phone (803) 236-1448

Other names 1

  • ESSENTIAL COUNSELING SERVICES LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241018002152 SC Part B Supplier - Clinic/Group Practice 4880126549 Receives reassigned benefits from 1 practitioner
Practice locations: Sumter, SC

National Provider Directory

National Provider Directory

Locations

18 Barnette Dr
Sumter, SC 29150
Phone (803) 588-7980

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1265167563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 TEAKWOOD DR",
            "city": "DALZELL",
            "state": "SC",
            "postal_code": "290409652",
            "telephone_number": "803-236-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 TEAKWOOD DR",
            "city": "DALZELL",
            "state": "SC",
            "postal_code": "290409652",
            "telephone_number": "803-236-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "803-236-1448",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESSENTIAL COUNSELING SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dalzell, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.