Active NPI
Gregory L Dahl, LPC, LPCS,CACII, NCC
- Professional Counselor
- Columbia, SC
National Provider Identifier
1871750364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5374
- Practice address
- 1620 Lady St Ste B
Columbia, SC 29201-3482 - Phone
- (803) 622-0792
- Fax
- (803) 451-7604
- NPI assigned
- May 21, 2008
- Last updated
- Feb 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1005205 | SC | |
| Mental Health Counselor | 101YM0800X | 5134 | SC | |
| Professional Counselor | 101YP2500X | 5374 | SC | Primary |
Addresses
Primary practice location
1620 Lady St Ste B
Columbia, SC 29201-3482
Mailing address
1620 Lady St Ste B
Columbia, SC 29201-3482
Phone (803) 622-0792
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3000641104 | Other | SC | WORKERS' COMP |
| 322842 | Medicaid | SC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250519001197 | SC | Practitioner - Mental Health Counselor | 5890213367 | Practice locations: Columbia, SC |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- University of South Carolina School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
140 Stoneridge Dr
Suite 210
Columbia, SC 29210-8270
Phone (803) 451-7600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1005205 | SC | MD | Addiction (Substance Use Disorder) Counselor |
| 5134 | SC | MD | Mental Health Counselor |
| 5374 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angela D. Harper, M.D., PA | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Columbia, SC
- NPI 1669670097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1871750364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 LADY ST STE B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013482",
"telephone_number": "803-622-0792",
"fax_number": "803-451-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 LADY ST STE B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013482",
"telephone_number": "803-622-0792",
"fax_number": "803-451-7604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "GREGORY",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LPC, LPCS,CACII, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SC",
"license": "1005205",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "5134",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS' COMP",
"identifier": "3000641104",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "322842",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.