Organization Active NPI

Behaviors a Go-Go

  • Professional Counselor
  • West Columbia, SC
National Provider Identifier
1942943618
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BEHAVIORS A GO-GO
Practice address
3410 Sunset Blvd
West Columbia, SC 29169-3042
Phone
(864) 757-9918
Fax
(864) 757-9921
NPI assigned
Apr 19, 2022
Last updated
Apr 19, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
BEHAVIORS A GO-GOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Eliza Kathleen McCormick
Title
Office & Billing Manager
Phone
(864) 920-2527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

3410 Sunset Blvd
West Columbia, SC 29169-3042

Mailing address

219 Gerald Dr
Simpsonville, SC 29681-4111
Phone (864) 757-9918

Other practice location 1

511 W Butler Rd
Greenville, SC 29607-4833
Phone (864) 757-9918

Other identifiers 1

IdentifierTypeStateIssuer
GP7559MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Behaviors a Go-Go2 organizations share this tax ID, including this one
Part of
Behaviors a Go-Go

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

511 W Butler Rd
Greenville, SC 29607
Phone (864) 277-5645

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1942943618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 GERALD DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814111",
            "telephone_number": "864-757-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693042",
            "telephone_number": "864-757-9918",
            "fax_number": "864-757-9921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 W Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296074833",
            "country_code": "US",
            "telephone_number": "864-757-9918",
            "fax_number": "864-757-9921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEHAVIORS A GO-GO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEHAVIORS A GO-GO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICE & BILLING MANAGER",
        "authorized_official_telephone_number": "864-920-2527"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7559",
            "state": "SC"
        }
    ],
    "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 Apr 19, 2022; 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.