Christy P Mixson, LPC-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7292 Issued in SC

Practice address

61 Riverwalk Blvd Ste H
Ridgeland, SC 29936-3252

Phone

(843) 707-2198

Fax

(843) 206-0256

NPI assigned

Feb 11, 2020

Last updated

Feb 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluffton Okatie Counseling Center, LLC

  • Clinical Social Worker
  • Ridgeland, SC
  • NPI 1225544562

  Professional

  NPD
• South Carolina Online Counseling and Group Therapy, LLC

  • Professional Counselor
  • Ridgeland, SC
  • NPI 1154928448
  NPD

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1285266841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 RIVERWALK BLVD STE H",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299363252",
            "telephone_number": "843-707-2198",
            "fax_number": "843-206-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 RIVERWALK BLVD STE H",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299363252",
            "telephone_number": "843-707-2198",
            "fax_number": "843-206-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXSON",
        "first_name": "CHRISTY",
        "middle_name": "P",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RIDGELAND",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "RIDGELAND",
            "address_1": "61 Riverwalk Blvd Ste H",
            "city": "Ridgeland",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299363252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.