Organization Active NPI

Trinity Counseling Agency

  • Community/Behavioral Health Agency
  • Georgetown, SC
National Provider Identifier
1518257328
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5152 Issued in SC
Legal business name
TRINITY COUNSELING AGENCY
Practice address
152 Bertie Ave
Georgetown, SC 29440-8492
Phone
(843) 520-9522
NPI assigned
Apr 13, 2011
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Mrs. Deborah Ann Fraser, LPC
Title
Counselor
Phone
(843) 520-9522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5152 SC Primary

Addresses

Primary practice location

152 Bertie Ave
Georgetown, SC 29440-8492

Mailing address

152 Bertie Ave
Georgetown, SC 29440-8492
Phone (843) 520-9522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1518257328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BERTIE AVE",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294408492",
            "telephone_number": "843-520-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BERTIE AVE",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294408492",
            "telephone_number": "843-520-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY COUNSELING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "843-520-9522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "5152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.