Individual provider Active NPI

Lisa Smith Klohn, PH.D.

  • Clinical Psychologist
  • Columbia, SC
National Provider Identifier
1811053465
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
477 Issued in SC
Practice address
5301 N Trenholm Rd
Suite C
Columbia, SC 29206-3226
Phone
(803) 787-7889
Fax
(803) 790-9988
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 477 SC Primary

Addresses

Primary practice location

5301 N Trenholm Rd
Suite C
Columbia, SC 29206-3226

Mailing address

5301 N Trenholm Rd
Suite C
Columbia, SC 29206-3226
Phone (803) 787-7889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000314 SC Practitioner - Clinical Psychologist 4688868706 Practice locations: Columbia, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Alabama School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2210 Devine St
Columbia, SC 29205-2402
Phone (803) 787-7889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Klohn Psychology Service, PA Clinical PastSince Aug 31, 2010 Accepting new patients

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811053465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 N TRENHOLM RD",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292063226",
            "telephone_number": "803-787-7889",
            "fax_number": "803-790-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 N TRENHOLM RD",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292063226",
            "telephone_number": "803-787-7889",
            "fax_number": "803-790-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOHN",
        "first_name": "LISA",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.