Active NPI
Mary Ann St John, MA, LPC
- Professional Counselor
- Columbia, SC
National Provider Identifier
1861869695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6173
- Practice address
- 810 Dutch Square Blvd Ste 207
Columbia, SC 29210-7318 - Phone
- (803) 216-5998
- NPI assigned
- Aug 27, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6173 | SC | Primary |
Addresses
Primary practice location
810 Dutch Square Blvd Ste 207
Columbia, SC 29210-7318
Mailing address
333 Hunters Blind Dr
Columbia, SC 29212-1651
Phone (803) 727-8827
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6173 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440633600000",
"number": "1861869695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 HUNTERS BLIND DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292121651",
"telephone_number": "803-727-8827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 DUTCH SQUARE BLVD STE 207",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292107318",
"telephone_number": "803-216-5998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST JOHN",
"first_name": "MARY ANN",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-27",
"last_updated": "2015-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.