Individual provider Active NPI

Anthony L. Wrifford, LISW-CP

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1588788673
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4728 Issued in SC
Practice address
2212 Devine St
Columbia, SC 29205-2402
Phone
(803) 201-0805
NPI assigned
Mar 16, 2007
Last updated
Apr 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4728 SC Primary

Addresses

Primary practice location

2212 Devine St
Columbia, SC 29205-2402

Mailing address

2212 Devine St
Columbia, SC 29205-2402
Phone (803) 201-0805

Other identifiers 1

IdentifierTypeStateIssuer
SW1044MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4728SCMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1588788673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 DEVINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052402",
            "telephone_number": "803-201-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 DEVINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052402",
            "telephone_number": "803-201-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIFFORD",
        "first_name": "ANTHONY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1044",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.