Active NPI
Sabrina L. Wannamaker, MA, LPCMH, NCC
- Professional Counselor
- Columbia, SC
National Provider Identifier
1558602946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5621
- Practice address
- 724 Janice Dr
Columbia, SC 29210-7826 - Phone
- (803) 546-4756
- NPI assigned
- Mar 8, 2013
- Last updated
- May 27, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC-00000617 | DE | |
| Professional Counselor | 101YP2500X | 5621 | SC | Primary |
Addresses
Primary practice location
724 Janice Dr
Columbia, SC 29210-7826
Mailing address
2712 Middleburg Dr
Ste 206
Columbia, SC 29204-2415
Phone (803) 546-4756
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC-00000617 | DE | MD | Mental Health Counselor |
| 5621 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just-US Counseling & Consulting, LLC | Mental Health | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495843200000",
"number": "1558602946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2712 MIDDLEBURG DR",
"address_2": "STE 206",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042415",
"telephone_number": "803-546-4756",
"fax_number": "888-397-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 JANICE DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292107826",
"telephone_number": "803-546-4756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANNAMAKER",
"first_name": "SABRINA",
"middle_name": "L.",
"credential": "MA, LPCMH, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-08",
"last_updated": "2017-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DE",
"license": "PC-00000617",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5621",
"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 May 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.