A Center for Adult Adolescent & Child Counseling PA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

806 Issued in SC

Legal business name

A CENTER FOR ADULT ADOLESCENT & CHILD COUNSELING PA

Practice address

1112 Old Towne Rd
Charleston, SC 29407-6063

Phone

(843) 763-0363

Fax

(843) 763-0363

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Billy Engram Barrineau, MS LPC LMSWNPI 1194883470

Title

Director & Psychotherapist

Phone

(843) 763-0363

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Billy Engram Barrineau, MASTERS DEGREE

  • Professional Counselor
  • Charleston, SC
  • NPI 1194883470

  Professional

  NPD (past) Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1356558019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 OLD TOWNE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076063",
            "telephone_number": "843-763-0363",
            "fax_number": "843-763-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 OLD TOWNE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076063",
            "telephone_number": "843-763-0363",
            "fax_number": "843-763-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CENTER FOR ADULT ADOLESCENT & CHILD COUNSELING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "BARRINEAU",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "ENGRAM",
        "authorized_official_title_or_position": "DIRECTOR & PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "843-763-0363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS LPC LMSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "103",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "SC",
            "license": "806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Charleston, SC
• Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.