Individual provider Active NPI

Alexandra M Karydi, MA, CSAC, CAC

  • Addiction (Substance Use Disorder) Counselor
  • Columbia, SC
National Provider Identifier
1295079119
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1111015 Issued in SC
Practice address
1731 Shivers Rd
Columbia, SC 29210-5413
Phone
(803) 896-7544
Fax
(803) 896-9014
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1111015 SC Primary

Addresses

Primary practice location

1731 Shivers Rd
Columbia, SC 29210-5413

Mailing address

1731 Shivers Rd
Columbia, SC 29210-5413
Phone (803) 896-7544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1111015SCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1295079119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 SHIVERS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105413",
            "telephone_number": "803-896-7544",
            "fax_number": "803-896-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 SHIVERS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105413",
            "telephone_number": "803-896-7544",
            "fax_number": "803-896-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARYDI",
        "first_name": "ALEXANDRA",
        "middle_name": "M",
        "credential": "MA, CSAC, CAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "1111015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.