NPIMap

Organization Active NPI

Resilience Community Support Services

  • Counselor
  • Columbia, SC
National Provider Identifier
1427440320
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A10380 Issued in NC
Legal business name
RESILIENCE COMMUNITY SUPPORT SERVICES
Practice address
1612 Marion St.
Suite 328a
Columbia, SC 29201
Phone
(704) 497-6131
Fax
(704) 303-9793
NPI assigned
Mar 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Denise Porter, LPN
Title
Ceo
Phone
(704) 497-6131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X A10380 NC Primary

Addresses

Primary practice location

1612 Marion St.
Suite 328a
Columbia, SC 29201

Mailing address

1612 Marion St
Suite 328a
Columbia, SC 29201-2939
Phone (704) 497-6131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1427440320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 MARION ST",
            "address_2": "SUITE 328A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012939",
            "telephone_number": "704-497-6131",
            "fax_number": "704-303-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 MARION ST.",
            "address_2": "SUITE 328A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "704-497-6131",
            "fax_number": "704-303-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE COMMUNITY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-497-6131",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "A10380",
            "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 Mar 2, 2015; 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.