Organization Active NPI

Complete Care Counseling

  • Clinical Social Worker
  • Aiken, SC
National Provider Identifier
1326525932
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2762 Issued in SC
Legal business name
COMPLETE CARE COUNSELING
Practice address
410 University Pkwy Ste 2300
Aiken, SC 29801-6807
Phone
(803) 226-0745
Fax
(803) 335-1689
NPI assigned
Jul 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Authorized official

Name
Mrs. Cherell S. Butler, LISW,CPNPI 1972891422
Title
Owner
Phone
(803) 226-0745

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2762 SC Primary

Addresses

Primary practice location

410 University Pkwy Ste 2300
Aiken, SC 29801-6807

Mailing address

3386 Victoria Dr NW
Aiken, SC 29801-3015
Phone (803) 643-8827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190205001869 SC Part B Supplier - Clinic/Group Practice 0840538583 Receives reassigned benefits from 1 practitioner
Practice locations: Aiken, SC

National Provider Directory

National Provider Directory

Locations

410 University Pkwy
Ste 2300A
Aiken, SC 29801

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1326525932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3386 VICTORIA DR NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013015",
            "telephone_number": "803-643-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY STE 2300",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016807",
            "telephone_number": "803-226-0745",
            "fax_number": "803-335-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "CHERELL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-226-0745",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW,CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "2762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.