Active NPI
Strategic Therapy Services
- Mental Health Counselor
- Irmo, SC
National Provider Identifier
1417364548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9650
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.