Individual provider Active NPI

Biaan Middleton Fussell, M.ED

  • Mental Health Counselor
  • Camden, SC
National Provider Identifier
1487749438
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2611 Liberty Hill Rd
Camden, SC 29020-1871
Phone
(803) 432-5323
Fax
(803) 713-3978
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

108 Palmetto Park Blvd
Suite D
Lexington, SC 29072-7968

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240821001980 SC Practitioner - Mental Health Counselor 9830637875 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
7258SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jul 23, 2024 Accepting new patients
Charleston Counseling Center PC Mental Health CurrentSince May 19, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jul 23, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Myrtle Beach Counseling Center Mental Health PastSince Aug 6, 2019 Accepting new patients

Locations

2611 Liberty Hill Rd
Camden, SC 29020
Phone (803) 432-3447

3600 Forest Dr
Ste 302
Columbia, SC 29204
Phone (803) 699-8887

2000 Center Point Rd
Ste 2350
Columbia, SC 29210
Phone (803) 338-3739

215 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 756-1000

108 Palmetto Park Blvd
Ste D
Lexington, SC 29072
Phone (803) 356-0949

305 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 359-7206

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

215 N Magnolia St
Sumter, SC 29150

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

2611 Liberty Hill Rd
Camden, SC 29020-1871

Mailing address

215 N Magnolia St
Sumter, SC 29150-4943
Phone (803) 775-9364

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2011.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1487749438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N MAGNOLIA ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504943",
            "telephone_number": "803-775-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 LIBERTY HILL RD",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290201871",
            "telephone_number": "803-432-5323",
            "fax_number": "803-713-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSSELL",
        "first_name": "BIAAN",
        "middle_name": "MIDDLETON",
        "name_prefix": "Mrs.",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

Verify at the official NPI Registry.