Sadatreya Tanesha Moultrie, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9479 Issued in SC

Practice address

560 Chris Dr
West Columbia, SC 29169-4669

Phone

(803) 791-9422

Fax

(803) 828-9647

NPI assigned

Aug 19, 2022

Last updated

Oct 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Department of Mental Health

  • Lodging Provider
  • Columbia, SC
  • NPI 1487291506
  NPD Authorized official
• Metro Treatment of South Carolina

  dba Columbia Metro Treatment Center

  • Methadone Clinic
  • West Columbia, SC
  • NPI 1902012255
  NPD

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1316665938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 CHRIS DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694669",
            "telephone_number": "080-379-1942",
            "fax_number": "803-828-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 CHRIS DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694669",
            "telephone_number": "803-791-9422",
            "fax_number": "803-828-9647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 748465",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303748465",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "fax_number": "617-807-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOULTRIE",
        "first_name": "SADATREYA",
        "middle_name": "TANESHA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9479",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "9479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice H Morrow, DNP RNC CS BC
• Samantha Steingold Morton, M.D.
• Jordan Moseley, MD
• Tina Moseley, APRN
• John M Motto, MD,MPH
• Louis Jeffrey Moyer, M.D.
• Lydiah Fridah Maxmilliam Mpyisi, MD
• Mt. Hebron Counseling Services
• Mt. Hebron Counseling Services
• Emily Bland Mullen, MD

• Professional Counselor in West Columbia, SC
• Providers in West Columbia, 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 Oct 1, 2025; 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.