Organization Active NPI

Cornerstone Project SC, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia, SC
National Provider Identifier
1922487610
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
261QR405X Issued in SC
Legal business name
CORNERSTONE PROJECT SC, LLC
Practice address
1919 Hampton St
Columbia, SC 29201-3535
Phone
(803) 764-3798
NPI assigned
May 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Ms. Leslie G. Wilson, MA, NCACII
Title
Senior Vice President
Phone
(803) 210-9554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 261QR405X SC Primary

Addresses

Primary practice location

1919 Hampton St
Columbia, SC 29201-3535

Mailing address

1919 Hampton St
Columbia, SC 29201-3535
Phone (803) 764-3798

National Provider Directory

National Provider Directory

Locations

1919 Hampton St
Columbia, SC 29201
Phone (803) 764-3798

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1922487610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 HAMPTON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013535",
            "telephone_number": "803-764-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 HAMPTON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013535",
            "telephone_number": "803-764-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PROJECT SC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "803-210-9554",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, NCACII"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "SC",
            "license": "261QR405X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.