Active NPI
Daphane Grace Rivers, SSP, NCSP, LPES
- School Psychologist
- Columbia, SC
National Provider Identifier
1538014188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4861
- Practice address
- 1 Windsor CV Ste 105
Columbia, SC 29223-1833 - Phone
- (803) 766-6766
- NPI assigned
- Feb 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4861 | SC | Primary |
Addresses
Primary practice location
1 Windsor CV Ste 105
Columbia, SC 29223-1833
Mailing address
388 Longfellows LN
Elgin, SC 29045-7126
Phone (803) 766-6766
Other practice location 1
388 Longfellows Ln
Elgin, SC 29045-7126
Phone (803) 766-6766
Other names 1
- D. Gracen Rivers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jade Bloom Psychoeducational Services LLC | School | Current | Accepting new patients |
Locations
1 Windsor Cv
Ste 105
Columbia, SC 29223
Phone (803) 766-6766
Organizations & group practices 1
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.
-
- School Psychologist
- Columbia, SC
- NPI 1174478721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1538014188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 LONGFELLOWS LN",
"city": "ELGIN",
"state": "SC",
"postal_code": "290457126",
"telephone_number": "803-766-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WINDSOR CV STE 105",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292231833",
"telephone_number": "803-766-6766"
}
],
"practiceLocations": [
{
"address_1": "388 Longfellows Ln",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "SC",
"postal_code": "290457126",
"country_code": "US",
"telephone_number": "803-766-6766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERS",
"first_name": "DAPHANE",
"middle_name": "GRACE",
"credential": "SSP, NCSP, LPES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-27",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "4861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "D.",
"last_name": "RIVERS",
"middle_name": "GRACEN",
"credential": "SSP, NCSP, LPES",
"code": "2",
"type": "Professional Name"
}
]
}
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 27, 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.