Angie Windham-Blanding

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6724 Issued in SC

Practice address

3945 Rivers Ave
North Charleston, SC 29405-7042

Phone

(843) 718-3019

Fax

(843) 805-4639

NPI assigned

Sep 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oasis Counseling Services LLC

  • Professional Counselor
  • North Charleston, SC
  • NPI 1265947865
  NPD (past)

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1952884827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 BANYAN ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057065",
            "telephone_number": "843-718-3019",
            "fax_number": "843-805-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057042",
            "telephone_number": "843-718-3019",
            "fax_number": "843-805-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM-BLANDING",
        "first_name": "ANGIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP8182",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Michelle Willoughby
• Tharyar Myatnoe Wilm
• Elizabeth Carr Wilson, RN
• Shacrisa Lashae Wilson
• Aziza Rahaman Win
• Windsor Hill RCF, LLC
• Marshall Scott Wingo, M.D.
• Jessica Winn, MA, LPCA, ADC-IP
• Tristi Winscott, B.S.N, R.N.
• Corinthian Delon Winton

• Mental Health Counselor in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.