Active NPI
Carolina Hope and Healing, LLC
- Mental Health Counselor
- Florence, SC
National Provider Identifier
1386115079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CAROLINA HOPE AND HEALING, LLC
- Practice address
- 514 W Palmetto St Ste 2B
Florence, SC 29501 - Phone
- (843) 250-4589
- NPI assigned
- Dec 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kimberly Lynn Roberts, MA, LPC
- Title
- Owner/LPC
- Phone
- (843) 409-3046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
514 W Palmetto St Ste 2B
Florence, SC 29501
Mailing address
514 W Palmetto St Ste 2B
Florence, SC 29501-4428
Phone (843) 250-4589
Other practice location 1
514 W Palmetto St Ste 2B
Florence, SC 29501
Phone (843) 250-4589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EJ7GST1IO450JIH | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
514 W Palmetto St
Ste 2B
Florence, SC 29501
Phone (843) 250-4589
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1043675275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1386115079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 W PALMETTO ST STE 2B",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295014428",
"telephone_number": "843-250-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 W PALMETTO ST STE 2B",
"city": "FLORENCE",
"state": "SC",
"postal_code": "29501",
"telephone_number": "843-250-4589"
}
],
"practiceLocations": [
{
"address_1": "514 W Palmetto St Ste 2B",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "29501",
"country_code": "US",
"telephone_number": "843-250-4589",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CAROLINA HOPE AND HEALING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-06",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER/LPC",
"authorized_official_telephone_number": "843-409-3046",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA, LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EJ7GST1IO450JIH",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
- Carolina Health Care
- Carolina Health Care Retail Pharmacy
- Carolina Health Care, P.a. (carolina health care)
- Carolina Home Care, Inc (Praxair Healthcare Services)
- Carolina Home Care, LLC
- Carolina Medcare
- Carolina Neurobehavioral Associates
- Carolina Pathways Behavior Health, LLC
- Carolina Pediatric Counseling and Educational Services
- Carolina Podiatry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.