Organization Active NPI

Your Path Counseling and Consulting Incorporated

  • Community/Behavioral Health Agency
  • Columbia, SC
National Provider Identifier
1720651276
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUR PATH COUNSELING AND CONSULTING INCORPORATED
Practice address
1612 Marion St Ste 213
Columbia, SC 29201-2939
Phone
(803) 369-8124
NPI assigned
Jul 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Camille Wood, LPC
Title
Owner
Phone
(803) 369-8124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1612 Marion St Ste 213
Columbia, SC 29201-2939

Mailing address

PO Box 25186
Columbia, SC 29224-5186

Other identifiers 1

IdentifierTypeStateIssuer
1063001592OtherSCINSURANCE

National Provider Directory

National Provider Directory

Locations

1612 Marion St
Ste 213
Columbia, SC 29201
Phone (803) 369-8124

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1720651276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25186",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292245186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 MARION ST STE 213",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012939",
            "telephone_number": "803-369-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR PATH COUNSELING AND CONSULTING INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-369-8124",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1063001592",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.