Organization Active NPI

Parakletos333

  • Professional Counselor
  • Charleston, SC
National Provider Identifier
1467874305
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5604 Issued in SC
Legal business name
PARAKLETOS333
Practice address
3 Gamecock Ave
Suite 304
Charleston, SC 29407-3378
Phone
(843) 640-6882
NPI assigned
Jan 13, 2014
Last updated
Jan 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Authorized official

Name
Mrs. Diane Elizabeth Arnold, MA, LPC
Title
Counselor
Phone
(843) 259-9433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 5604 SC Primary

Addresses

Primary practice location

3 Gamecock Ave
Suite 304
Charleston, SC 29407-3378

Mailing address

173 Mary Ellen Dr
Charleston, SC 29403-3355
Phone (843) 259-9433

National Provider Directory

National Provider Directory

Locations

3 Gamecock Ave
Ste 304
Charleston, SC 29407
Phone (843) 640-6882

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1467874305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MARY ELLEN DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294033355",
            "telephone_number": "843-259-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GAMECOCK AVE",
            "address_2": "SUITE 304",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073378",
            "telephone_number": "843-640-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAKLETOS333",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "843-259-9433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.