NPIMap

Organization Active NPI

Paula Fleming

Doing business as Behavior Balance

  • Professional Counselor
  • Loris, SC
National Provider Identifier
1790167393
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5489 Issued in SC
Legal business name
PAULA FLEMING
Doing business as
Behavior Balance
Practice address
586 Highway 701 N
A
Loris, SC 29569-2473
Phone
(843) 756-7171
Fax
(843) 756-7176
NPI assigned
Jun 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Ms. Paula Fleming, LPC, LPHA
Title
Licensed Independent Practitioner
Phone
(843) 756-7171

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1050 NC
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 5489 SC Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X S4500 NC

Addresses

Primary practice location

586 Highway 701 N
A
Loris, SC 29569-2473

Mailing address

586 Highway 701 N
A
Loris, SC 29569-2473
Phone (843) 756-7171

Other identifiers 3

IdentifierTypeStateIssuer
3410166MedicaidNC
6102664MedicaidNC
6005440MedicaidNC

Other names 1

  • Behavior Balance Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1790167393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 HIGHWAY 701 N",
            "address_2": "A",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692473",
            "telephone_number": "843-756-7171",
            "fax_number": "843-756-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 HIGHWAY 701 N",
            "address_2": "A",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692473",
            "telephone_number": "843-756-7171",
            "fax_number": "843-756-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA FLEMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "LICENSED INDEPENDENT PRACTITIONER",
        "authorized_official_telephone_number": "843-756-7171",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LPHA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1050",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5489",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S4500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410166",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102664",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005440",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavior Balance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loris, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.