Active NPI
Lilyann Mae Kanipe
- Addiction (Substance Use Disorder) Counselor
- Chester, SC
National Provider Identifier
1568200855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 130 Hudson Street
Chester, SC 29706 - Phone
- (803) 377-8111
- Fax
- (803) 581-5380
- NPI assigned
- Jul 19, 2024
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | SC | Primary |
Addresses
Primary practice location
130 Hudson Street
Chester, SC 29706
Mailing address
1910 Lavington CT PO Box 95
Apt 206
Rock Hill, SC 29732
Phone (864) 542-7985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD23CS | Medicaid | SC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1568200855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 LAVINGTON CT PO BOX 95",
"address_2": "APT 206",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "29732",
"telephone_number": "864-542-7985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 HUDSON STREET",
"city": "CHESTER",
"state": "SC",
"postal_code": "29706",
"telephone_number": "803-377-8111",
"fax_number": "803-581-5380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANIPE",
"first_name": "LILYANN",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-19",
"last_updated": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AD23CS",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chester, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.