Individual provider Active NPI

Abby Charis O'Neal, MS, LPC

  • Counselor
  • Florence, SC
National Provider Identifier
1720579162
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC7563 Issued in SC
Practice address
549 W Evans St
Florence, SC 29501-3407
Phone
(843) 667-4949
Fax
(843) 667-3349
NPI assigned
May 22, 2018
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC7563 SC Primary

Addresses

Primary practice location

549 W Evans St
Florence, SC 29501-3407

Mailing address

1428 W Palmetto St
Florence, SC 29501-4130
Phone (843) 858-6874

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
I20240418001510 SC Practitioner - Mental Health Counselor 6103265517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifecare Psychology Group, LLCGroup PAC ID 1850330408, 8 clinicians

Practice addresses (Care Compare)

549 W Evans St
Florence, SC 29501-3407
Phone (843) 667-4949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC7563SCMDCounselor

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": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1720579162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014130",
            "telephone_number": "843-858-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 W EVANS ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013407",
            "telephone_number": "843-667-4949",
            "fax_number": "843-667-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "ABBY",
        "middle_name": "CHARIS",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "LPC7563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.