Active NPI
Mercedez Bohnenstiehl
- Behavior Technician
- Summerville, SC
National Provider Identifier
1679437347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 775 Sangaree Pkwy Apt 16D
Summerville, SC 29486-1849 - Phone
- (843) 704-3470
- NPI assigned
- Dec 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
775 Sangaree Pkwy Apt 16D
Summerville, SC 29486-1849
Mailing address
775 Sangaree Pkwy Apt 16D
Summerville, SC 29486-1849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1679437347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 SANGAREE PKWY APT 16D",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294861849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 SANGAREE PKWY APT 16D",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294861849",
"telephone_number": "843-704-3470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHNENSTIEHL",
"first_name": "MERCEDEZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-16",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.