Individual provider Active NPI

Victoria Jennie Commander, LPC

  • Professional Counselor
  • West Columbia, SC
National Provider Identifier
1902342405
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10811 Issued in SC
Practice address
3937 Sunset Blvd
West Columbia, SC 29169-2423
Phone
(803) 399-8683
Fax
(888) 320-8093
NPI assigned
Jan 9, 2017
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10811 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3937 Sunset Blvd
West Columbia, SC 29169-2423

Mailing address

187 Coatbridge Dr
Blythewood, SC 29016-9168
Phone (773) 726-3968

Other practice location 1

1922 S Martin Luther King Jr Dr Ste 15
Winston Salem, NC 27107-1371
Phone (336) 464-3122

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifechanges Family Guidance & Wellness Inc. Professional Past Accepting new patients
Sound PastSince Oct 14, 2012 Accepting new patients

Organizations & group practices 2

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": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1902342405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 COATBRIDGE DR",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290169168",
            "telephone_number": "773-726-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692423",
            "telephone_number": "803-399-8683",
            "fax_number": "888-320-8093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1922 S Martin Luther King Jr Dr Ste 15",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271071371",
            "country_code": "US",
            "telephone_number": "336-464-3122",
            "fax_number": "888-320-8093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMMANDER",
        "first_name": "VICTORIA",
        "middle_name": "JENNIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "10811",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.