Individual provider Active NPI

Racquel Lashanta Sims

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1376378000
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10213 Issued in SC
Practice address
4605 Monticello Rd BLDG B1
Columbia, SC 29203-4156
Phone
(803) 714-0266
Fax
(803) 753-6333
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10213 SC Primary
Mental Health Counselor 101YM0800X 8203 SC

Addresses

Primary practice location

4605 Monticello Rd BLDG B1
Columbia, SC 29203-4156

Mailing address

440 Knox Abbott Dr Ste 400
Cayce, SC 29033-4353
Phone (843) 501-1099

Other practice location 1

440 Knox Abbott Dr Ste 400
Cayce, SC 29033-4353
Phone (843) 501-1099

Other names 1

  • Raquel Lashanta Sims Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121003877 SC Practitioner - Mental Health Counselor 8426583824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eau Claire Cooperative Health Center, Inc.Group PAC ID 3274434220, 45 clinicians
Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

Practice addresses (Care Compare)

1228 Harden St
Columbia, SC 29204-1800

440 Knox Abbott Dr
Suite 425
Cayce, SC 29033-4353
Phone (843) 501-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8203SCMDMental Health Counselor
10213SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Jul 7, 2025 Accepting new patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Jul 7, 2025 Accepting new patients
Myrtle Beach Counseling Center Mental Health PastSince Aug 6, 2019 Accepting new patients

Locations

4605 Monticello Rd
Bldg B1
Columbia, SC 29203
Phone (803) 714-0266

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

Interoperability endpoints

  • Direct secure messaging: racquel.sims.1@10781.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1376378000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 KNOX ABBOTT DR STE 400",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290334353",
            "telephone_number": "843-501-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 MONTICELLO RD BLDG B1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292034156",
            "telephone_number": "803-714-0266",
            "fax_number": "803-753-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Knox Abbott Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Cayce",
            "state": "SC",
            "postal_code": "290334353",
            "country_code": "US",
            "telephone_number": "843-501-1099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "RACQUEL",
        "middle_name": "LASHANTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "10213",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "8203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAQUEL",
            "last_name": "SIMS",
            "middle_name": "LASHANTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.