Individual provider Active NPI

Victoria Sabbah

  • Professional Counselor
  • North Charleston, SC
National Provider Identifier
1447856844
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8555 Issued in SC
Practice address
6650 Rivers Ave Ste 105
North Charleston, SC 29406-4829
Phone
(843) 709-0851
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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 8555 SC Primary

Addresses

Primary practice location

6650 Rivers Ave Ste 105
North Charleston, SC 29406-4829

Mailing address

3429 Deer Trace LN
Clayton, NC 27520-5931
Phone (803) 761-2954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260514002382 NC Practitioner - Mental Health Counselor 5294204657 Reassigns benefits to 1 organization
I20260603003816 SC Practitioner - Mental Health Counselor 5294204657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8555SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Counseling Services PastSince Dec 1, 2020 Accepting new patients
Synergy Counseling Services LLC Professional PastSince May 16, 2021 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1447856844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 DEER TRACE LN",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205931",
            "telephone_number": "803-761-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 RIVERS AVE STE 105",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064829",
            "telephone_number": "843-709-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABBAH",
        "first_name": "VICTORIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.