Active NPI
Dream Academy of SC
- Counselor
- Sumter, SC
National Provider Identifier
1952120024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- DREAM ACADEMY OF SC
- Practice address
- 124 N Main St
Sumter, SC 29150-4948 - Phone
- (866) 323-7326
- NPI assigned
- Oct 7, 2024
- Organization subpart
- Yes
- Parent organization
- ANCHOR PORTFOLIO HOLDINGS,LLC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patrice Gaines
- Title
- Founder
- Phone
- (866) 323-7326
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Peer Specialist | 175T00000X | |||
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
124 N Main St
Sumter, SC 29150-4948
Mailing address
124 N Main St
Sumter, SC 29150-4948
Phone (866) 323-7326
National Provider Directory
National Provider DirectoryLocations
124 N Main St
Sumter, SC 29150
Phone (866) 323-7326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728345600000",
"number": "1952120024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 N MAIN ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504948",
"telephone_number": "866-323-7326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 N MAIN ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504948",
"telephone_number": "866-323-7326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAM ACADEMY OF SC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ANCHOR PORTFOLIO HOLDINGS,LLC.",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A",
"authorized_official_last_name": "GAINES",
"authorized_official_first_name": "PATRICE",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "866-323-7326",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.