Individual provider Active NPI

Gabrielle Maryann Chandler, CER GUIDANCE COUN

  • Professional Counselor
  • Kingstree, SC
National Provider Identifier
1851736367
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
261317 Issued in SC
Practice address
500 N Academy St
Building K
Kingstree, SC 29556-3408
Phone
(843) 355-5571
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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 261317 SC Primary

Addresses

Primary practice location

500 N Academy St
Building K
Kingstree, SC 29556-3408

Mailing address

710 3Rd Ave
Kingstree, SC 29556-2822
Phone (843) 355-1506

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
Certificate

State licenses

LicenseStateTypeSpecialty
261317SCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1851736367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 3RD AVE",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295562822",
            "telephone_number": "843-355-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N ACADEMY ST",
            "address_2": "BUILDING K",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295563408",
            "telephone_number": "843-355-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "GABRIELLE",
        "middle_name": "MARYANN",
        "name_prefix": "Mrs.",
        "credential": "CER GUIDANCE COUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "261317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingstree, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.