Organization Active NPI

Strategic Therapy Services

  • Mental Health Counselor
  • Irmo, SC
National Provider Identifier
1417364548
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9650 Issued in SC
Legal business name
STRATEGIC THERAPY SERVICES
Practice address
401 Western LN
Suite 9D
Irmo, SC 29063-7953
Phone
(803) 528-8488
NPI assigned
Jul 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Katherine Kristian Roberts, LISW-CP
Title
Therapist
Phone
(803) 528-8488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 9650 SC Primary

Addresses

Primary practice location

401 Western LN
Suite 9D
Irmo, SC 29063-7953

Mailing address

401 Western LN
Suite 9D
Irmo, SC 29063-7953

National Provider Directory

National Provider Directory

Locations

401 Western Ln
Ste 9D
Irmo, SC 29063
Phone (803) 528-8488

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1417364548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WESTERN LN",
            "address_2": "SUITE 9D",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WESTERN LN",
            "address_2": "SUITE 9D",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637953",
            "telephone_number": "803-528-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "KRISTIAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "803-528-8488",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.