Organization Active NPI

Forest Acres Counseling Center LLC

  • Counselor
  • Columbia, SC
National Provider Identifier
1598000333
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1141 Issued in SC
Legal business name
FOREST ACRES COUNSELING CENTER LLC
Practice address
5211 N Trenholm Rd Ste B
Columbia, SC 29206-4815
Phone
(803) 240-1990
NPI assigned
Dec 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Carol Barnett, LISWNPI 1639425051
Title
Owner
Phone
(803) 240-1990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 1141 SC Primary

Addresses

Primary practice location

5211 N Trenholm Rd Ste B
Columbia, SC 29206-4815

Mailing address

1021 Autumn Cir
Columbia, SC 29206-4995
Phone (803) 240-1990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130529000000 SC Part B Supplier - Clinic/Group Practice 2365680683 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

5211 N Trenholm Rd
Ste B
Columbia, SC 29206
Phone (803) 240-1990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1598000333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 AUTUMN CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064995",
            "telephone_number": "803-240-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 N TRENHOLM RD STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064815",
            "telephone_number": "803-240-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST ACRES COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-240-1990",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "SC",
            "license": "1141",
            "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 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.