The Family Center of Aiken County

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

THE FAMILY CENTER OF AIKEN COUNTY

Doing business as

Pine Heights Rehabilitation Services

Practice address

1117 Georgia Ave
North Augusta, SC 29841-3012

Phone

(803) 752-0404

Fax

(888) 384-2250

NPI assigned

Jun 30, 2021

Last updated

Jun 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edgar Joe Holt, PHDNPI 1376642884

Title

Ceo/Clinical Director

Phone

(803) 752-0404

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pine Heights Rehabilitation Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edgar Joe Holt Jr., PH.D, LMFT, LPC

  • Professional Counselor
  • North Augusta, SC
  • NPI 1376642884
  Authorized official Same address or phone

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1912577982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 GEORGIA AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413012",
            "telephone_number": "803-752-0404",
            "fax_number": "888-384-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 GEORGIA AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413012",
            "telephone_number": "803-752-0404",
            "fax_number": "888-384-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY CENTER OF AIKEN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "803-752-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID #",
            "identifier": "1376642884",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PL1369",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Heights Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• T.I.G.a., Inc. Dba Comfort Keepers 429
• Julia A Talmadge, LCSW
• Heather Hughes Taylor, PHARMD
• Taylors Compounding LLC
• Angel Sheree Tennyson
• The Family Center of Aiken County, LLC
• The Family Counseling and Associates, LLC
• The Flower Institute, LLC
• The Kroger Co (Kroger Pharmacy)
• Suzanne M Thigpen, MD

• Counseling Psychologist in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Counseling Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.