Samantha Brenner Gautier, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7306 Issued in SC

Practice address

110 Ashley Bluffs Rd
Summerville, SC 29485-6043

Phone

(803) 939-6747

NPI assigned

Mar 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Carolina Behavioral Counseling

  • Professional Counselor
  • Summerville, SC
  • NPI 1053879007
  NPD Authorized official

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1346708377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ASHLEY BLUFFS RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294856043",
            "telephone_number": "908-334-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ASHLEY BLUFFS RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294856043",
            "telephone_number": "803-939-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER GAUTIER",
        "first_name": "SAMANTHA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert T Branham Jr., PT
• Sarah Elizabeth Branton, APRN
• Brehmer Professional Services, LLC
• Sandra G Brehmer, APRN, FNP
• Grant Christian Bremer, PA-C
• Marquetta Breslin
• Douglas Brian
• Caitlin Wells Briggs, APRN
• Thearica L Bright-Mickle, LPC
• Billy Wayne Brigman, L.M.T.

• Professional Counselor in Summerville, SC
• Providers in Summerville, 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 Apr 27, 2022; 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.