Active NPI
Debra Cole Culbertson, MED, LPC, LAC, LPCS
- Professional Counselor
- Seneca, SC
National Provider Identifier
1356787899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3474
- Practice address
- 455 Highway 123 Ste C
Seneca, SC 29678-0855 - Phone
- (864) 710-4723
- Fax
- (864) 752-1186
- NPI assigned
- May 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6903 | SC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 669 | SC | |
| Professional Counselor | 101YP2500X | 3474 | SC | Primary |
Addresses
Primary practice location
455 Highway 123 Ste C
Seneca, SC 29678-0855
Mailing address
259 Winstead Rd
West Union, SC 29696-3026
Phone (864) 710-4723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC1794 | Medicaid | SC |
Other names 1
- Dee Dee Culbertson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6903 | SC | MD | Mental Health Counselor |
| 3474 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Family Counseling LLC | Professional | Current | Accepting new patients |
Locations
135 Eagles Nest Dr
Ste C
Seneca, SC 29678
455 Highway 123
Ste C
Seneca, SC 29678
Phone (864) 710-4723
Organizations & group practices 1
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.
-
- Professional Counselor
- Seneca, SC
- NPI 1114455615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1356787899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 WINSTEAD RD",
"city": "WEST UNION",
"state": "SC",
"postal_code": "296963026",
"telephone_number": "864-710-4723",
"fax_number": "864-752-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 HIGHWAY 123 STE C",
"city": "SENECA",
"state": "SC",
"postal_code": "296780855",
"telephone_number": "864-710-4723",
"fax_number": "864-752-1186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULBERTSON",
"first_name": "DEBRA",
"middle_name": "COLE",
"credential": "MED, LPC, LAC, LPCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-10",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "6903",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SC",
"license": "669",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "3474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC1794",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEE DEE",
"last_name": "CULBERTSON",
"credential": "MED, LPC, LAC, LPCS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.