Individual provider Active NPI

Carol Reyner Barnett, LISW

  • Counselor
  • Columbia, SC
National Provider Identifier
1639425051
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1141 Issued in SC
Practice address
5211 N Trenholm Rd Ste B
Columbia, SC 29206-4815
Phone
(803) 240-1990
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1141 SC Primary

Addresses

Primary practice location

5211 N Trenholm Rd Ste B
Columbia, SC 29206-4815

Mailing address

1021 Autumn Cir
Columbia, SC 29206-4995

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
I20130529000002 SC Practitioner - Clinical Social Worker 3274771597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1021 Autumn Cir
Columbia, SC 29206-4995
Phone (803) 240-1990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1141SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Acres Counseling Center LLC Counselor CurrentSince Feb 25, 2013 Accepting new patients

Locations

5211 N Trenholm Rd
Ste B
Columbia, SC 29206
Phone (803) 240-1990

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1639425051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 AUTUMN CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 N TRENHOLM RD STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064815",
            "telephone_number": "803-240-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "CAROL",
        "middle_name": "REYNER",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "1141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.