Individual provider Active NPI

Noelle Pauling, MS, MA, LPC, LPC/S-C

  • Professional Counselor
  • Irmo, SC
National Provider Identifier
1801308416
Registry record updated Dec 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6695 Issued in SC
Practice address
401 Western LN Ste 9B-1
Irmo, SC 29063-7953
Phone
(803) 250-1998
Fax
(866) 598-4111
NPI assigned
Nov 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6695 SC
Religious Nonmedical Practitioner 374K00000X
Professional Counselor 101YP2500X 6695 SC Primary

Addresses

Primary practice location

401 Western LN Ste 9B-1
Irmo, SC 29063-7953

Mailing address

114 Stamport Cir
Irmo, SC 29063-9389
Phone (803) 250-1998

Other practice location 1

114 Stamport Cir
Irmo, SC 29063-9389
Phone (803) 250-1998

Other identifiers 1

IdentifierTypeStateIssuer
PC2447MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address npauling@therapist.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 18, 2024 through Mar 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
6695SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rhema Healing and Wellness, LLC Mental Health CurrentSince Dec 10, 2023 Accepting new patients

Locations

401 Western Ln
Ste 9B1
Irmo, SC 29063
Phone (803) 250-1998

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702166400000",
    "number": "1801308416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 STAMPORT CIR",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639389",
            "telephone_number": "803-250-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WESTERN LN STE 9B-1",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637953",
            "telephone_number": "803-250-1998",
            "fax_number": "866-598-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Stamport Cir",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290639389",
            "country_code": "US",
            "telephone_number": "803-250-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULING",
        "first_name": "NOELLE",
        "name_prefix": "Mrs.",
        "credential": "MS, MA, LPC, LPC/S-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-04",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6695",
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC2447",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npauling@therapist.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "114 Stamport Cir",
            "city": "Irmo",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290639389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

Verify at the official NPI Registry.