Individual provider Active NPI

Michelle J Whitlow-Blanding, LPC

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1427720283
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8575 Issued in SC
Practice address
1120 Sparkleberry Lane Ext Ste B
Columbia, SC 29223-7078
Phone
(803) 967-9313
NPI assigned
Sep 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8575 SC Primary

Addresses

Primary practice location

1120 Sparkleberry Lane Ext Ste B
Columbia, SC 29223-7078

Mailing address

4920 Hardscrabble Road Apt. 405
Columbia SC, SC 29229-1298
Phone (803) 967-9313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20240809002680 SC Practitioner - Mental Health Counselor 7618415530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

Practice addresses (Care Compare)

440 Knox Abbott Dr
Suite 425
Cayce, SC 29033-4353
Phone (843) 501-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8575SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Wellness LLC CurrentSince Jun 24, 2024 Accepting new patients
Charleston Counseling Center PC Professional CurrentSince May 16, 2024 Accepting new patients
Seeds of Discovery Therapy, Wellness & Consultation Services LLC Professional CurrentSince Aug 6, 2023 Accepting new patients
Myrtle Beach Counseling Center PastSince Aug 6, 2019 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

440 Knox Abbott Dr
Ste 425
Cayce, SC 29033

1120 Sparkleberry Lane Ext
Ste B
Columbia, SC 29223
Phone (803) 462-3662

115 Atrium Way
Ste 221
Columbia, SC 29223
Phone (803) 699-8887

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1427720283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 HARDSCRABBLE ROAD APT. 405",
            "city": "COLUMBIA SC",
            "state": "SC",
            "postal_code": "292291298",
            "telephone_number": "803-967-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SPARKLEBERRY LANE EXT STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237078",
            "telephone_number": "803-967-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOW-BLANDING",
        "first_name": "MICHELLE",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.