Organization Active NPI

Selah of the Carolinas

  • Mental Illness Community Based Residential Treatment Facility
  • Columbia, SC
National Provider Identifier
1730544214
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SELAH OF THE CAROLINAS
Practice address
1530 Richland St
Columbia, SC 29201-2611
Phone
(803) 260-2854
NPI assigned
Dec 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Mrs. Amy Gerberry, LPC
Title
Clinical Director
Phone
(602) 509-0293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1530 Richland St
Columbia, SC 29201-2611

Mailing address

1530 Richland St
Columbia, SC 29201-2611
Phone (803) 260-2854

National Provider Directory

National Provider Directory

Locations

1530 Richland St
Columbia, SC 29201
Phone (803) 252-4040

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1730544214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 RICHLAND ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012611",
            "telephone_number": "803-260-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 RICHLAND ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012611",
            "telephone_number": "803-260-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH OF THE CAROLINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "GERBERRY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "602-509-0293",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "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 Dec 28, 2015; 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.