Organization Active NPI

Condor Life and Wellness Services, LLC

  • Mental Health Counselor
  • Columbia, SC
National Provider Identifier
1508722943
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CONDOR LIFE AND WELLNESS SERVICES, LLC
Practice address
112 Fifeshire Dr
Columbia, SC 29212-1906
Phone
(803) 973-0313
Fax
(803) 395-0969
NPI assigned
Dec 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Jeanelle Kline, LCSWNPI 1801435243
Title
Psychotherapist
Phone
(803) 973-0313

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

112 Fifeshire Dr
Columbia, SC 29212-1906

Mailing address

112 Fifeshire Dr
Columbia, SC 29212-1906
Phone (803) 973-0313

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1508722943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FIFESHIRE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121906",
            "telephone_number": "803-973-0313",
            "fax_number": "803-395-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FIFESHIRE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121906",
            "telephone_number": "803-973-0313",
            "fax_number": "803-395-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONDOR LIFE AND WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-30",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "JEANELLE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "803-973-0313",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 20, 2026; 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.