Active NPI
Put-Back, a Non-Profit Organization
- Community/Behavioral Health Agency
- Columbia, SC
National Provider Identifier
1316369333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PUT-BACK, A NON-PROFIT ORGANIZATION
- Practice address
- 8408 Little John Dr
Columbia, SC 29209-5600 - Phone
- (803) 783-1801
- Fax
- (803) 776-8029
- NPI assigned
- Jan 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Harry Eugene Reese Sr.
- Title
- Executive Director
- Phone
- (803) 479-9238
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
8408 Little John Dr
Columbia, SC 29209-5600
Mailing address
8408 Little John Dr
Columbia, SC 29209-5600
Phone (803) 783-1801
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Columbia, SC
- NPI 1811163041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389312000000",
"number": "1316369333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8408 LITTLE JOHN DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292095600",
"telephone_number": "803-783-1801",
"fax_number": "803-776-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8408 LITTLE JOHN DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292095600",
"telephone_number": "803-783-1801",
"fax_number": "803-776-8029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUT-BACK, A NON-PROFIT ORGANIZATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-09",
"last_updated": "2014-01-10",
"status": "A",
"authorized_official_last_name": "REESE",
"authorized_official_first_name": "HARRY",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "803-479-9238",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"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 Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.