Joseph Funderburk, LMSW, LCSWA. RHIT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15154 Issued in SC

Practice address

117 Spratt St
Fort Mill, SC 29715-4100

Phone

(704) 931-1010

NPI assigned

Apr 14, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Therapy Resource Group

  • Mental Health Counselor
  • Fort Mill, SC
  • NPI 1578133781
  NPD
• Pediatric and Family Behavioral Health Acquisition Group PLLC

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1770056038
  NPD (past)

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1700572476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SPRATT ST STE B",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297154111",
            "telephone_number": "704-931-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SPRATT ST",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297154100",
            "telephone_number": "704-931-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNDERBURK",
        "first_name": "JOSEPH",
        "credential": "LMSW, LCSWA. RHIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "15154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Frose, FNP
• Rachel Fry, RACHEL FRY
• Skylar Frye
• Ft Mill Dentistry LLC
• Aaliyah Fuller, CF SLP
• Tammy Watts Furr, RN
• Anthony Joe Fusco, DMD
• Futuresmith Inc.
• Logan A Gabrielsen, OTR/L
• Elizabeth Galyas, PT DPT

• Mental Health Counselor in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.