Active NPI
Wanda Nunn, LPC
- Professional Counselor
- Columbia, SC
National Provider Identifier
1730201815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4679
- Practice address
- 2611 Forest Dr
Suite 129
Columbia, SC 29204 - Phone
- (803) 251-0104
- Fax
- (866) 344-1607
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4679 | SC | Primary |
Addresses
Primary practice location
2611 Forest Dr
Suite 129
Columbia, SC 29204
Mailing address
742 Cindy Drive
Columbia, SC 29203
Phone (803) 479-1027
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4679 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Forward | Professional | Past | Accepting new patients |
| Journey Forward, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Columbia, SC
- NPI 1336302538
-
- Professional Counselor
- Columbia, SC
- NPI 1033425293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1730201815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 CINDY DRIVE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-479-1027",
"fax_number": "866-344-1607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 FOREST DR",
"address_2": "SUITE 129",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29204",
"telephone_number": "803-251-0104",
"fax_number": "866-344-1607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNN",
"first_name": "WANDA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "4679",
"primary": true
}
],
"identifiers": [],
"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 May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.