Active NPI
Palmer Rilee Garrison
- Mental Health Counselor
- Columbia, SC
National Provider Identifier
1366161374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2715 Colonial Dr Ste 100a
Columbia, SC 29203-6818 - Phone
- (803) 898-4777
- NPI assigned
- Aug 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2715 Colonial Dr Ste 100a
Columbia, SC 29203-6818
Mailing address
700 Woodrow St Unit 402
Columbia, SC 29205-1771
Phone (803) 920-1330
Other practice location 1
2715 Colonial Drive
Columbia, SC 29203
Phone (803) 898-4777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123456789 | Other | SC | BLUE CROSS BLUE SHIELD |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Prisma | Direct | |
| CONNECT URL | Prisma |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1366161374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 WOODROW ST UNIT 402",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292051771",
"telephone_number": "803-920-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 COLONIAL DR STE 100A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036818",
"telephone_number": "803-898-4777"
}
],
"practiceLocations": [
{
"address_1": "2715 Colonial Drive",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "29203",
"country_code": "US",
"telephone_number": "803-898-4777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRISON",
"first_name": "PALMER",
"middle_name": "RILEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "123456789",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Prisma",
"affiliation": "N",
"endpointDescription": "Department of Mental Health",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2715 Colonial Dr Ste 100A",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "292036818",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Prisma",
"affiliation": "N",
"address_1": "2715 Colonial Drive",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "29203",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Aug 23, 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.