Agartha Ajoa Boateng, MSW,CAC 1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

441 N Main St
Sumter, SC 29150-4232

Phone

(803) 775-5080

Fax

(803) 773-6256

NPI assigned

Jun 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sumter County Commission on Alcohol and Drug Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sumter, SC
  • NPI 1043215569

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1457798373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N HARVIN ST",
            "address_2": "P.O.BOX 39",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504956",
            "telephone_number": "803-775-5080",
            "fax_number": "803-773-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N MAIN ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504232",
            "telephone_number": "803-775-5080",
            "fax_number": "803-773-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATENG",
        "first_name": "AGARTHA",
        "middle_name": "AJOA",
        "name_prefix": "Mrs.",
        "credential": "MSW,CAC 1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-01",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043215569",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Lucretia Blanding
• Blue Heron Counseling
• Blue Heron Counseling
• Blue Ridge of Sumter LLC
• BNT Transportation Service LLC
• Stephen Cole Boatwright
• Cayetana Bolster
• Brooke Bond, M.D.
• Bonkofsky Speech and Language
• Ashley G Bonkofsky, MS, CCC-SLP

• Addiction (Substance Use Disorder) Counselor in Sumter, SC
• Providers in Sumter, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.