Concrete Clinical Solutions

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CONCRETE CLINICAL SOLUTIONS

Practice address

1627 Auburn St.
Columbia, SC 29204

Phone

(803) 881-5599

Fax

(803) 724-6758

NPI assigned

Sep 15, 2020

Last updated

Sep 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shamiquia Nikia McPherson, LPCSNPI 1023492287

Title

Executive Director

Phone

(803) 881-5599

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 3

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.

• Shamiquia N. McPherson, MA, LPC-S CANDIDATE

  • Mental Health Counselor
  • Columbia, SC
  • NPI 1023492287
  NPD Authorized official
• Larissa Trapp

  • Marriage & Family Therapist
  • Columbia, SC
  • NPI 1003466673
  NPD
• Delsondra Jonell Allen, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1083274708
  NPD

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1487269585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50579",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294850579",
            "telephone_number": "803-881-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 AUBURN ST.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29204",
            "telephone_number": "803-881-5599",
            "fax_number": "803-724-6758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100A Central Ave Ste 209",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294452979",
            "country_code": "US",
            "telephone_number": "803-881-5599",
            "fax_number": "803-724-6758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONCRETE CLINICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-13",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "SHAMIQUIA",
        "authorized_official_middle_name": "NIKIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-881-5599",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Admin@ccsofsc.com",
            "affiliation": "N",
            "address_1": "1627 Auburn St.",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Compton, DAOM, L.AC.
• Amy Elizabeth Conard, FNP
• Laura P Conard, NP
• Concierge Medical Group LLC
• Concierge Medical Lab
• Natalie E Conde, PA-C
• Jacqueline Imogene Conder, ACNP CS CCRN
• Condor Life and Wellness Services, LLC
• David Lindsie Cone, M.D.
• Jordan Lindsie Cone, MD

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.