Active NPI
Essential Counseling Services LLC
- Professional Counselor
- Dalzell, SC
National Provider Identifier
1265167563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Renee M Shaw, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Sumter, SC
- NPI 1659321503
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.