Tia D. Buchanan, DMIN., LCCC, NCC, LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6810 Issued in SC

Practice address

531 Oxford St Ste a
Sumter, SC 29150

Phone

(803) 565-3878

Fax

(877) 828-9472

NPI assigned

Feb 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1598061855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 OXFORD ST STE A",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503300",
            "telephone_number": "803-565-3878",
            "fax_number": "877-828-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 OXFORD ST STE A",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29150",
            "telephone_number": "803-565-3878",
            "fax_number": "877-828-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "TIA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DMIN., LCCC, NCC, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "13741",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL CHRISTIAN COUNSELOR NCCA",
            "identifier": "13741",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1931",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rick Floyd Brownlow, PTA
• Kassidy M Bruey, DPT, PT
• Diana M Brunson, LMT
• Monica Brewer Brunson, OTR/L
• Candice Patrice Bryant, BSN,RN
• Stephen Gregory Buck, O.D.
• Leanne Sheedy Buckner, M.ED., LPC
• Zachary Tyler Buckner, BSN-RN
• Roxana Buda, DPT
• Temisha H Budden, PA

• Mental Health Counselor in Sumter, SC
• Providers in Sumter, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.