Individual provider Active NPI

Alan Cecil Altman, LPC

  • Professional Counselor
  • Florence, SC
National Provider Identifier
1467807628
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4933 Issued in SC
Practice address
2126 W Jody Rd
Florence, SC 29501-2032
Phone
(843) 731-9100
Fax
(843) 879-0613
NPI assigned
Apr 25, 2016
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 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 4933 SC Primary

Addresses

Primary practice location

2126 W Jody Rd
Florence, SC 29501-2032

Mailing address

PO Box 4167
Florence, SC 29502-4167
Phone (843) 731-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4933SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Lifeline Center, LLC CurrentSince Jun 23, 2024 Accepting new patients
The Lifeline Center, LLC CurrentSince Jun 23, 2024 Accepting new patients

Locations

2126 W Jody Rd
Florence, SC 29501
Phone (843) 731-9100

Organizations & group practices 2

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": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1467807628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4167",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295024167",
            "telephone_number": "843-731-9100",
            "fax_number": "843-879-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 W JODY RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012032",
            "telephone_number": "843-731-9100",
            "fax_number": "843-879-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "ALAN",
        "middle_name": "CECIL",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2024-06-20",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.