Emerge Essentials, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

5337 Issued in SC

Legal business name

EMERGE ESSENTIALS, LLC

Practice address

1612 Marion St
Suite 313
Columbia, SC 29201-2939

Phone

(803) 298-8356

NPI assigned

Jul 7, 2016

Last updated

Jul 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Michelle G Drayton, LPCS, CSPC, CSSC

Title

Licensed Professional Counselor/Ceo

Phone

(803) 238-5063

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Goodwin Clay, LPC

  • Professional Counselor
  • Hopkins, SC
  • NPI 1962789875
  NPD (past)

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1598117152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 MARION ST",
            "address_2": "SUITE 313",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012939",
            "telephone_number": "803-298-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 MARION ST",
            "address_2": "SUITE 313",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012939",
            "telephone_number": "803-298-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE ESSENTIALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "DRAYTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR/CEO",
        "authorized_official_telephone_number": "803-238-5063",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCS, CSPC, CSSC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "SC",
            "license": "5337",
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "SC",
            "license": "5337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1160",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.