Organization Active NPI

Pivot Telehealth LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, SC
National Provider Identifier
1376416297
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PIVOT TELEHEALTH LLC
Practice address
1722 Main St
Columbia, SC 29201-2851
Phone
(330) 356-8458
NPI assigned
Sep 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Anthony Denard Bowden
Title
Ceo
Phone
(305) 710-1516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1722 Main St
Columbia, SC 29201-2851

Mailing address

2011 Cedar Hill Dr
Riverdale, GA 30296-1816

National Provider Directory

National Provider Directory

Locations

222 Market Ave N
Canton, OH 44702

1722 Main St
Columbia, SC 29201
Phone (330) 356-8458

NPI Registry JSON

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1376416297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 CEDAR HILL DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 MAIN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012851",
            "telephone_number": "330-356-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOT TELEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "DENARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-710-1516"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 28, 2025; 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.