Individual provider Active NPI

Kenneth William Barwick, M.DIV., MSW

  • Marriage & Family Therapist
  • West Columbia, SC
National Provider Identifier
1740306950
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
217 Issued in SC
Practice address
3050 Leaphart Rd
West Columbia, SC 29169-3000
Phone
(803) 791-0495
Fax
(803) 791-1958
NPI assigned
Mar 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 217 SC Primary

Addresses

Primary practice location

3050 Leaphart Rd
West Columbia, SC 29169-3000

Mailing address

3050 Leaphart Rd
West Columbia, SC 29169-3000
Phone (803) 791-0495

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
I20240214000541 SC Practitioner - Marriage and Family Therapist 0941449797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Mt.Hebron Pastoral Counseling ServiceGroup PAC ID 6608014394, 5 clinicians

Practice addresses (Care Compare)

3156 Leaphart Rd
West Columbia, SC 29169-3024
Phone (803) 791-0495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
217SCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. Hebron Counseling Services Marriage & Family Therapist CurrentSince Jan 31, 2024 Accepting new patients
Mt. Hebron Counseling Services Past Accepting new patients

Locations

3050 Leaphart Rd
West Columbia, SC 29169
Phone (803) 791-0495

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, 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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740306950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 LEAPHART RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693000",
            "telephone_number": "803-791-0495",
            "fax_number": "803-791-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 LEAPHART RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693000",
            "telephone_number": "803-791-0495",
            "fax_number": "803-791-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARWICK",
        "first_name": "KENNETH",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "M.DIV., MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.