NPIMap

Organization Active NPI

S.C.Dept of Mental Health

  • Community/Behavioral Health Agency
  • Florence, SC
National Provider Identifier
1295032878
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
S.C.DEPT OF MENTAL HEALTH
Practice address
125 E Cheves St
Florence, SC 29506-2526
Phone
(843) 317-4089
Fax
(843) 317-4096
NPI assigned
Feb 17, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Zondra Samuels
Title
Human Service Specialst
Phone
(843) 431-1100

Practitioners 4

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

National Provider Directory

National Provider Directory
Tax ID family
Lexington Co Comm Men H61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SC Primary

Addresses

NPPES NPI Registry

Primary practice location

125 E Cheves St
Florence, SC 29506-2526

Mailing address

125 E Cheves St
Florence, SC 29506-2526
Phone (843) 317-4089

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
3337OtherSCMEDICARE
376241MedicaidSC

Other names 1

NPPES NPI Registry
  • PEE DEE MENTAL HEALTH Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2011.

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1295032878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062526",
            "telephone_number": "843-317-4089",
            "fax_number": "843-317-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062526",
            "telephone_number": "843-317-4089",
            "fax_number": "843-317-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.C.DEPT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "ZONDRA",
        "authorized_official_title_or_position": "HUMAN SERVICE SPECIALST",
        "authorized_official_telephone_number": "843-431-1100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3337",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376241",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEE DEE MENTAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.