Individual provider Active NPI

Regina Lee-Carter

  • Addiction (Substance Use Disorder) Counselor
  • Sumter, SC
National Provider Identifier
1629436480
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
10678 Issued in SC
Practice address
402 Haynsworth St
Sumter, SC 29150-4008
Phone
(803) 607-8058
Fax
(803) 879-4605
NPI assigned
Feb 8, 2016
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10678 SC Primary

Addresses

Primary practice location

402 Haynsworth St
Sumter, SC 29150-4008

Mailing address

531 Oxford St Ste C-6
Sumter, SC 29150-3300
Phone (803) 607-8058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926003624 SC Practitioner - Clinical Social Worker 6709262967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

531 Oxford St
Suite C6
Sumter, SC 29150-3300
Phone (803) 968-4222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10678SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Birch Wellness LLC CurrentSince Jun 15, 2022 Accepting new patients

Locations

531 Oxford St
Ste C6
Sumter, SC 29150
Phone (803) 968-4222

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1629436480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 OXFORD ST STE C-6",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503300",
            "telephone_number": "803-607-8058",
            "fax_number": "803-879-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 HAYNSWORTH ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504008",
            "telephone_number": "803-607-8058",
            "fax_number": "803-879-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-CARTER",
        "first_name": "REGINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "10678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.