Individual provider Active NPI

Gregory L Dahl, LPC, LPCS,CACII, NCC

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1871750364
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5374 Issued in SC
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3000641104OtherSCWORKERS' COMP
322842MedicaidSC

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
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

LicenseStateTypeSpecialty
1005205SCMDAddiction (Substance Use Disorder) Counselor
5134SCMDMental Health Counselor
5374SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.