Active NPI
Niya Calderon
- Counselor
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5508
- Practice address
- 2711 Colonial Dr
Columbia, SC 29203-6818 - Phone
- (803) 726-9300
- NPI assigned
- Nov 1, 2013
- Last updated
- Nov 1, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5508 | SC | Primary |
Addresses
Primary practice location
2711 Colonial Dr
Columbia, SC 29203-6818
Mailing address
PO Box 50597
Columbia, SC 29250-0597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Phone (651) 602-7500
424 Dorothy Day PL
Saint Paul, MN 55102-1025
Phone (651) 290-6814
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3569 | MN | MD | Psychologist |
| 5508 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| Lexington Richland Alcohol & Drug Abuse Council, Inc. | Past | Accepting new patients | |
| Lexington Richland Alcohol & Drug Abuse Council, Inc. | Past | Accepting new patients |
Locations
424 Dorothy Day Pl
Saint Paul, MN 55102
Phone (651) 793-2219
153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816
Interoperability endpoints
- ncalderon733015@direct.ochin.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba McDonough Homes Clinic
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1821149964
-
dba MINNESOTA COMMUNITY CARE MBC - St. Paul
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1043187289
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1699809939
-
dba Lradac
- Addiction Medicine (Family Medicine) Physician
- Columbia, SC
- NPI 1437924438
-
dba Lradac
- Substance Use Disorder Rehabilitation Clinic/Center
- Columbia, SC
- NPI 1538153069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383264000000",
"number": "1609205517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50597",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292500597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 COLONIAL DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036818",
"telephone_number": "803-726-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "NIYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-01",
"last_updated": "2013-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "5508",
"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 Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.