Individual provider Active NPI

Felicia S Taylor

  • Addiction (Substance Use Disorder) Counselor
  • Chester, SC
National Provider Identifier
1629507322
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
130 Hudson St
Chester, SC 29706-1524
Phone
(803) 377-8111
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 Primary

Addresses

Primary practice location

130 Hudson St
Chester, SC 29706-1524

Mailing address

130 Hudson St
Chester, SC 29706-1524
Phone (803) 377-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: No
  • 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
I20240219003438 SC Practitioner - Mental Health Counselor 5597109470 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jan 6, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jan 6, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients

Locations

524 Doctors Ct
Chester, SC 29706
Phone (803) 325-7744

448 Lakeshore Pkwy
Ste 110
Rock Hill, SC 29730
Phone (803) 323-1779

448 Lakeshore Pkwy
Ste 205
Rock Hill, SC 29730
Phone (803) 323-0007

205 Piedmont Blvd
Ste 100
Rock Hill, SC 29732
Phone (803) 323-0008

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629507322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HUDSON ST",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297061524",
            "telephone_number": "803-377-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HUDSON ST",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297061524",
            "telephone_number": "803-377-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "FELICIA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, SC

Sources for this page

Verify at the official NPI Registry.