South Carolina Dept of Mental Health Accounting Office
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Simpsonville, SC
NPI 1306949482 · NPPES record last updated Sep 20, 2019
Key facts
- NPI
- 1306949482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
- Practice address
- 20 Powderhorn Rd
Simpsonville, SC 29681-3399 - Phone
- (864) 963-3421
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Tracy L Turner
- Title
- Controller
- Phone
- (803) 898-8503
Other NPIs on the same Medicare enrollment 15
Practitioners 240
-
Kristen Marie Farrenkopf, LMSW
-
Vonda K Gravely, MD
-
William D Taylor, M.D.
-
Jenetta Ashmore, RN
-
Melody Garner Blighton, MSW, LISW-CP
-
Silvia M Bloch, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031107000041 | SC | Part B Supplier - Clinic/Group Practice | 9032021175 |
Receives reassigned benefits from 243 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: McCormick, SC; Greenwood, SC; Hartsville, SC; Lake City, SC; Lancaster, SC; Lexington, SC; Manning, SC; Marion, SC… |
National Provider Directory
Locations
20 Powderhorn Rd
Simpsonville, SC 29681
Phone (864) 297-5044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
20 Powderhorn Rd
Simpsonville, SC 29681-3399
Mailing address
20 Powderhorn Rd
Simpsonville, SC 29681-3399
Phone (864) 963-3421
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 435176 | Medicaid | SC |
Other names
- Piedmont Center for Mental Health Services
Other providers in Simpsonville, SC
- South Carolina CVS Pharmacy LLC
- South Carolina CVS Pharmacy LLC
- South Carolina CVS Pharmacy, L.L.C.
- South Carolina CVS Pharmacy, L.L.C.
- South Carolina Dental Sleep Center, LLC
- Southern Eye Associates of South Carolina, PA
- Southern Eye Associates of South Carolina, PA
- Nicolas Everett Spano
- Spartanburg Medical Center
- Spartanburg Medical Center
All providers in Simpsonville, SC · Mental Health Clinic/Center (Including Community Mental Health Center) in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.