NPIMap

Organization Active NPI

Equine Intervention, LLC

  • Professional Counselor
  • Hartsville, SC
National Provider Identifier
1871827451
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5487 Issued in SC
Legal business name
EQUINE INTERVENTION, LLC
Practice address
5003 Una Rd
Hartsville, SC 29550-1954
Phone
(843) 453-9985
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Deborah Alexander Lynn, M.S., LPC, NCC, CACI
Title
Owner/Executive Director
Phone
(843) 453-9985

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X CERTIFIED SC
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 5487 SC
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 5487 SC Primary

Addresses

Primary practice location

5003 Una Rd
Hartsville, SC 29550-1954

Mailing address

1415 Ballentine Ave
Hartsville, SC 29550-5003
Phone (843) 453-9985

Other identifiers 1

IdentifierTypeStateIssuer
PC1259MedicaidSC

Other names 1

  • Palmetto Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1871827451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BALLENTINE AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295505003",
            "telephone_number": "843-453-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 UNA RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295501954",
            "telephone_number": "843-453-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUINE INTERVENTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-453-9985",
        "authorized_official_credential": "M.S., LPC, NCC, CACI"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "CERTIFIED",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5487",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1259",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.