Covenant Counseling Center

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

2130 Issued in SC

Legal business name

COVENANT COUNSELING CENTER

Practice address

1851 Dawson Branch Rd
Summerville, SC 29483-5702

Phone

(843) 851-1806

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark E, Tidsworth, MDIV., MED, LMFT

Title

Consulting Director

Phone

(803) 673-3634

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara Anne Boland, LPC

  • Mental Health Counselor
  • Goose Creek, SC
  • NPI 1194923870
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760688477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 BRIDGECREEK DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455214",
            "telephone_number": "843-572-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 DAWSON BRANCH RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294835702",
            "telephone_number": "843-851-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIDSWORTH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E,",
        "authorized_official_title_or_position": "CONSULTING DIRECTOR",
        "authorized_official_telephone_number": "18036733634",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MDIV., MED, LMFT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "SC",
            "license": "2130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Cottrell, MSN, APRN, FNP-C
• Maura Elizabeth Coughlin
• De'Andrea Coulter
• Counseling and Consultation Services of the Carolinas, LLC
• Erin Courtney, LISW-CP
• Covenant Counseling of South Carolina
• Covenant Counselors, LLC
• Kathleen Covert
• Brett Louise Cox
• Camille Cox, PHARMD

• Health Maintenance Organization in Summerville, SC
• Providers in Summerville, SC by specialty
• Health Maintenance Organization in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.