Organization Active NPI

Collaborative Means, LLC

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1356855837
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
COLLABORATIVE MEANS, LLC
Doing business as
Collaborative Means
Practice address
4201 N Main St
Columbia, SC 29203-5863
Phone
(803) 814-5573
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Ms. Jenais Yvonne Means, LPCNPI 1366956849
Title
Lead Counselor
Phone
(803) 814-5573

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4201 N Main St
Columbia, SC 29203-5863

Mailing address

3443 Bumgardner CT
Columbia, SC 29204-2812

Other identifiers 1

IdentifierTypeStateIssuer
GP9549MedicaidSC

Other names 1

  • Collaborative Means Doing business as

National Provider Directory

National Provider Directory

Locations

4201 N Main St
Columbia, SC 29203
Phone (803) 814-5573

1101 Belleview St
Ste 1107
Columbia, SC 29201

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": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1356855837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 BUMGARDNER CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 N MAIN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035863",
            "telephone_number": "803-814-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE MEANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "MEANS",
        "authorized_official_first_name": "JENAIS",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "LEAD COUNSELOR",
        "authorized_official_telephone_number": "803-814-5573",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9549",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collaborative Means",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.