William Darrisaw, NCC, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A11804 Issued in NC

Practice address

9181 Drayton LN
Fort Mill, SC 29707-5848

Phone

(704) 995-0055

NPI assigned

Oct 7, 2015

Last updated

Oct 7, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Soul Care, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1821320334

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1386015071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9181 DRAYTON LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297075848",
            "telephone_number": "704-995-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9181 DRAYTON LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297075848",
            "telephone_number": "704-995-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARRISAW",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "NCC, LPCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Daduica
• Ziyana Daley, RBT
• Dana Giarrizzi, LLC
• Svetlana Danilova
• Shawndele Lanik Danzy, NP
• Christine Davis
• John B Davis
• Michael William Davis, D. M. D.
• Patricia Davis
• Virginia Elizabeth Day, DC

• Mental Health Counselor in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.