Individual provider Active NPI

Bonnie F Rauch-Bouie, LPC-A

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1780307207
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7058 Issued in SC
Practice address
1950 Bush River Rd Ste 4
Columbia, SC 29210-6800
Phone
(803) 760-7449
Fax
(803) 636-2637
NPI assigned
Sep 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7058 SC Primary

Addresses

Primary practice location

1950 Bush River Rd Ste 4
Columbia, SC 29210-6800

Mailing address

317 N Donar Dr
Columbia, SC 29229-6589
Phone (803) 348-7101

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7058SCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1780307207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N DONAR DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292296589",
            "telephone_number": "803-348-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 BUSH RIVER RD STE 4",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292106800",
            "telephone_number": "803-760-7449",
            "fax_number": "803-636-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCH-BOUIE",
        "first_name": "BONNIE",
        "middle_name": "F",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "1950 Bush River Rd Ste 4",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292106800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.