Second Chance Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SECOND CHANCE COUNSELING SERVICES, LLC

Practice address

108 Stage Coach Lane
Village Park
Orangeburg, SC 29118-2499

Phone

(803) 516-0200

Fax

(803) 516-8288

NPI assigned

Dec 29, 2006

Last updated

Apr 27, 2023By 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

Dr. James Furtick Jr., PH.DNPI 1265441265

Title

Director

Phone

(803) 516-0200

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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.

• James Furtick Jr., PH.D

  • Professional Counselor
  • Orangeburg, SC
  • NPI 1265441265
  Authorized official Same address or phone

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1518023076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 STAGE COACH LANE",
            "address_2": "VILLAGE PARK",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182499",
            "telephone_number": "803-516-0200",
            "fax_number": "803-516-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 STAGE COACH LANE",
            "address_2": "VILLAGE PARK",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182499",
            "telephone_number": "803-516-0200",
            "fax_number": "803-516-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "FURTICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-516-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "SC",
            "license": "4068",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1049",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SC Department of Juvenile Justice
• SC Medicine LLC (SC Medicine)
• Peter Walter Schindler, CRNA
• Nathean Antwan Scott, PHARMD
• Kanah Cierra Scoville, MA, CCC-SLP
• Amelia K Selph, APRN, ACNP
• Karen Virginia Senior, ED.S., CCC/SP
• Serenity Adult Home Care Agency LLC
• Janet S. Shafer, M.A., CCC/SLP
• Sapna Pathak Shah, MD

• Clinical Social Worker in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.