Organization Active NPI

Centered Self Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Charleston, SC
National Provider Identifier
1265220412
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CENTERED SELF CARE
Practice address
4900 Ohear Ave Ste 100-9033
North Charleston, SC 29405-5081
Phone
(843) 410-9809
Fax
(843) 310-5578
NPI assigned
Apr 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Kimberly DavisNPI 1578013405
Title
Owner & Practitioner
Phone
(843) 410-9809

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4900 Ohear Ave Ste 100-9033
North Charleston, SC 29405-5081

Mailing address

4900 Ohear Ave Ste 100-9033
North Charleston, SC 29405-5081
Phone (843) 410-9809

Other names 1

  • Centered Self Care Other name

National Provider Directory

National Provider Directory

Locations

4900 Ohear Ave
Ste 1009033
North Charleston, SC 29405
Phone (843) 410-9809

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": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1265220412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 OHEAR AVE STE 100-9033",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294055081",
            "telephone_number": "843-410-9809",
            "fax_number": "843-310-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 OHEAR AVE STE 100-9033",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294055081",
            "telephone_number": "843-410-9809",
            "fax_number": "843-310-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED SELF CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER & PRACTITIONER",
        "authorized_official_telephone_number": "843-410-9809"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centered Self Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.