Individual provider Active NPI

Douglas Fotia, LISW

  • Counselor
  • North Charleston, SC
National Provider Identifier
1770552283
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6167 Issued in SC
Practice address
9326 Medical Plaza Dr
Suite a
North Charleston, SC 29406-9138
Phone
(843) 377-1600
Fax
(843) 377-1601
NPI assigned
Mar 16, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6167 SC Primary

Addresses

Primary practice location

9326 Medical Plaza Dr
Suite a
North Charleston, SC 29406-9138

Mailing address

9326 Medical Plaza Dr
Suite a
North Charleston, SC 29406-9138
Phone (843) 377-1600

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6167SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Mary Jenkins Center for Behavioral Health LLC PastSince Nov 4, 2002 Accepting new patients
Douglas Fotia, Inc. PastSince Jul 1, 2004 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, 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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770552283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9326 MEDICAL PLAZA DR",
            "address_2": "SUITE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069138",
            "telephone_number": "843-377-1600",
            "fax_number": "843-377-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9326 MEDICAL PLAZA DR",
            "address_2": "SUITE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069138",
            "telephone_number": "843-377-1600",
            "fax_number": "843-377-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOTIA",
        "first_name": "DOUGLAS",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "6167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.