Columbia Therapy and Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5622 Issued in SC

Legal business name

COLUMBIA THERAPY AND WELLNESS

Practice address

3441 Hazelhurst Rd
Columbia, SC 29203-5526

Phone

(803) 250-6193

NPI assigned

Mar 18, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Bedford, ED.S., LPCNPI 1023462579

Title

Owner/Counselor

Phone

(803) 250-6193

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Bedford, LPC

  • Mental Health Counselor
  • Columbia, SC
  • NPI 1023462579
  NPD (past) Authorized official
• Julie Marie Lacubbert, PHD

  • Marriage & Family Therapist
  • Charleston, SC
  • NPI 1295031912
  NPD (past)
• Thomas Victor Martin, M.D.

  • Forensic Psychiatry Physician
  • Columbia, SC
  • NPI 1568482545
  NPD (past)
• Jeffrey N. Rose, LMFT

  • Marriage & Family Therapist
  • West Columbia, SC
  • NPI 1356423172
  NPD (past)

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1447611488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 RICHLAND ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012522",
            "telephone_number": "803-250-6193",
            "fax_number": "803-771-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 HAZELHURST RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035526",
            "telephone_number": "803-250-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "BEDFORD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "803-250-6193",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED.S., LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Rehabilitation and Nursing Center-Columbia SC LLC
• Columbia Rehabilitation Clinic
• Columbia Smiles Downtown
• Columbia Smiles Youth Dentistry, LLC
• Columbia Surgery Center Inc
• Columbia Urban League, Inc.
• Columbia Urological Associates, P.a.
• Columbia Vamc
• Columbia Vamc
• Columbia Vamc

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.