Organization Active NPI

Integrative Mental Health Solutions LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, SC
National Provider Identifier
1477010726
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INTEGRATIVE MENTAL HEALTH SOLUTIONS LLC
Practice address
540 Saint Andrews Rd Ste 215
Columbia, SC 29210-4500
Phone
(803) 272-9593
NPI assigned
Feb 22, 2019
Last updated
Feb 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Nathaniel Troy Pharis, LPC, LACNPI 1316348998
Title
Partner/Owner
Phone
(803) 272-9593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

540 Saint Andrews Rd Ste 215
Columbia, SC 29210-4500

Mailing address

3101 Petigru St
Columbia, SC 29204-3619
Phone (803) 272-9593

Other identifiers 1

IdentifierTypeStateIssuer
PC1424MedicaidSC

National Provider Directory

National Provider Directory

Locations

540 Saint Andrews Rd
Ste 215
Columbia, SC 29210
Phone (803) 272-9593

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1477010726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 PETIGRU ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292043619",
            "telephone_number": "803-272-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SAINT ANDREWS RD STE 215",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104500",
            "telephone_number": "803-272-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MENTAL HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "PHARIS",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "803-272-9593",
        "authorized_official_credential": "LPC, LAC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1424",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.