Active NPI
Addison Swan
- Marriage & Family Therapist
- Charleston, SC
National Provider Identifier
1568298586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 9171
- Practice address
- 253 Coming St Apt a
Charleston, SC 29403-6483 - Phone
- (704) 728-3304
- NPI assigned
- Sep 9, 2024
- Last updated
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 9171 | SC | Primary |
Addresses
Primary practice location
253 Coming St Apt a
Charleston, SC 29403-6483
Mailing address
1985 Riviera Dr
Ste 103 PMB 245
Mount Pleasant, SC 29464
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": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1568298586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1985 RIVIERA DR",
"address_2": "STE 103 PMB 245",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "29464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 COMING ST APT A",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294036483",
"telephone_number": "704-728-3304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAN",
"first_name": "ADDISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "9171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.