Individual provider Active NPI

Anita Blandena Brown, LPC

  • Professional Counselor
  • Taylors, SC
National Provider Identifier
1699012393
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2607 Issued in SC
Practice address
3575 Rutherford Road Ext Ste B
Taylors, SC 29687-2168
Phone
(864) 203-5446
Fax
(800) 501-2082
NPI assigned
Jan 15, 2013
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2607 SC Primary

Addresses

Primary practice location

3575 Rutherford Road Ext Ste B
Taylors, SC 29687-2168

Mailing address

2548 Carver Hall Rd
Dillon, SC 29536-6018
Phone (843) 229-7931

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
I20250720000148 SC Practitioner - Mental Health Counselor 3173039831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Skills Community Center Inc CurrentSince Oct 4, 2020 Accepting new patients

Locations

3575 Rutherford Road Ext
Ste B
Taylors, SC 29687
Phone (864) 203-5446

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": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1699012393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 CARVER HALL RD",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295366018",
            "telephone_number": "843-229-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 RUTHERFORD ROAD EXT STE B",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872168",
            "telephone_number": "864-203-5446",
            "fax_number": "800-501-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANITA",
        "middle_name": "BLANDENA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "2607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylors, SC

Sources for this page

Verify at the official NPI Registry.