Active NPI
Calvin A. Edmundson, LPC
- Professional Counselor
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7568
- Practice address
- 4605 Monticello Rd Ste 3
Columbia, SC 29203-4156 - Phone
- (803) 754-0151
- Fax
- (803) 691-1778
- NPI assigned
- Aug 19, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7568 | SC | Primary |
Addresses
Primary practice location
4605 Monticello Rd Ste 3
Columbia, SC 29203-4156
Mailing address
169 Laurelhurst Ave
Columbia, SC 29210-3825
Phone (803) 733-5969
Other practice location 1
391 Serpentine Dr Ste 400
Spartanburg, SC 29303-3081
Phone (864) 560-7517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240710005282 | SC | Practitioner - Mental Health Counselor | 0840735130 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eau Claire Cooperative Health Center, Inc.Spartanburg Medical Center
Practice addresses (Care Compare)
1228 Harden St
Columbia, SC 29204-1800
391 Serpentine Dr
Suite 400
Spartanburg, SC 29303-3081
Phone (864) 560-7517
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Current | Accepting new patients | |
| Eau Claire Cooperative Health Center, Inc. | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Eau Claire Cooperative Health Center ,Inc. | Current | Accepting new patients | |
| Pediatrics of Newberry, LLC | Past | Accepting new patients |
Locations
4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001
169 Laurelhurst Ave
Columbia, SC 29210
Phone (803) 730-0742
4605 Monticello Rd
Ste 3
Columbia, SC 29203
Phone (803) 754-0151
4605 Monticello Rd
Ste 1
Columbia, SC 29203
Phone (803) 252-7001
2755 S Highway 14
Ste 1200D
Greer, SC 29650
Phone (864) 849-9333
391 Serpentine Dr
Ste 400
Spartanburg, SC 29303
Phone (864) 560-7517
Organizations & group practices 22
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.
-
- Federally Qualified Health Center (FQHC)
- Columbia, SC
- NPI 1346249430
SC
-
- Family Medicine Physician
- Spartanburg, SC
- NPI 1003900143
-
- Endocrinology, Diabetes & Metabolism Physician
- Spartanburg, SC
- NPI 1033150875
-
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- Neuromusculoskeletal Medicine & OMM Physician
- Spartanburg, SC
- NPI 1043309917
-
- Customized Equipment (DME)
- Spartanburg, SC
- NPI 1114017688
-
- Community Based Hospice Care Agency
- Drayton, SC
- NPI 1194745190
-
- Family Medicine Physician
- Boiling Springs, SC
- NPI 1235170077
-
- Durable Medical Equipment & Medical Supplies
- Greer, SC
- NPI 1255963088
-
- Obstetrics & Gynecology Physician
- Spartanburg, SC
- NPI 1396981403
-
- Home Health Agency
- Spartanburg, SC
- NPI 1558381541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1962014175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 LAURELHURST AVE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292103825",
"telephone_number": "803-733-5969",
"fax_number": "803-753-5591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 MONTICELLO RD STE 3",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292034156",
"telephone_number": "803-754-0151",
"fax_number": "803-691-1778"
}
],
"practiceLocations": [
{
"address_1": "391 Serpentine Dr Ste 400",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293033081",
"country_code": "US",
"telephone_number": "864-560-7517",
"fax_number": "864-560-7520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDMUNDSON",
"first_name": "CALVIN",
"middle_name": "A.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-19",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "7568",
"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 Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.