Active NPI
Biaan Middleton Fussell, M.ED
- Mental Health Counselor
- Camden, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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.
-
- Primary Care Nurse Practitioner
- Bennettsville, SC
- NPI 1295332690
SC
-
- Mental Health Counselor
- Mount Pleasant, SC
- NPI 1316375678
Mental Health
-
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lexington, SC
- NPI 1841374972
-
- Mental Health Counselor
- Myrtle Beach, SC
- NPI 1235784661
Mental Health
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7258 | SC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| Charleston Counseling Center PC | Mental Health | Current | Accepting new patients |
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| Myrtle Beach Counseling Center | Mental Health | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.