Organization Active NPI

Minds Moving Forward

  • Community/Behavioral Health Agency
  • Orangeburg, SC
National Provider Identifier
1902104276
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDS MOVING FORWARD
Practice address
1314 Cherokee St
Orangeburg, SC 29115-7635
Phone
(803) 308-2954
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Mr. Demar Gilliard
Title
Director of Office
Phone
(803) 308-2954

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP1600X
Community/Behavioral Health Agency 251S00000X SC Primary
Private Vehicle 347C00000X SC

Addresses

Primary practice location

1314 Cherokee St
Orangeburg, SC 29115-7635

Mailing address

PO Box 1629
Orangeburg, SC 29116-1629
Phone (803) 308-2954

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1902104276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1629",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291161629",
            "telephone_number": "803-308-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 CHEROKEE ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291157635",
            "telephone_number": "803-308-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS MOVING FORWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "GILLIARD",
        "authorized_official_first_name": "DEMAR",
        "authorized_official_title_or_position": "DIRECTOR OF OFFICE",
        "authorized_official_telephone_number": "803-308-2954",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.