Active NPI
Vadonna Benson Bartell, MS, LPC, CACII
- Counselor
- Lake City, SC
National Provider Identifier
1841585874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2298
- Practice address
- 711 Bartells Rd
Lake City, SC 29560-7564 - Phone
- (843) 558-2786
- NPI assigned
- Jun 17, 2011
- Last updated
- Jun 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2298 | SC | Primary |
Addresses
Primary practice location
711 Bartells Rd
Lake City, SC 29560-7564
Mailing address
711 Bartells Rd
Lake City, SC 29560-7564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2298 | Other | SC | LPC LICENSURE |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2298 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1841585874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 BARTELLS RD",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295607564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 BARTELLS RD",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295607564",
"telephone_number": "843-558-2786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTELL",
"first_name": "VADONNA",
"middle_name": "BENSON",
"name_prefix": "Mrs.",
"credential": "MS, LPC, CACII",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-17",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "2298",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC LICENSURE",
"identifier": "2298",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake City, SC
- Cody Clarke Anderson, DPM
- Sandra Helen Arthur, MA, CCC-SLP
- Melissa Askins, SCHOOL PSYCHOLOGIST
- Ernest M Atkinson, M.D.
- Awareness in Home Care and DME, LLC
- Morgan Beard
- Roy Edwin Belser Jr., PT
- Beyond the Stars Early Intervention LLC
- Hannah Carsten Bingham, FNP-C
- Bio-Medical Applications of South Carolina, Inc. (FMC Dialysis Services Pee Dee Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.