Individual provider Active NPI

Sabrina L. Wannamaker, MA, LPCMH, NCC

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1558602946
Registry record updated May 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5621 Issued in SC
Practice address
724 Janice Dr
Columbia, SC 29210-7826
Phone
(803) 546-4756
NPI assigned
Mar 8, 2013
Last updated
May 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PC-00000617DEMDMental Health Counselor
5621SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.