Active NPI
Wayne Gerald Schaefer
- Mental Health Counselor
- Rock Hill, SC
National Provider Identifier
1962728899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6301006337
- Practice address
- 1477 Ebenezer Rd
Suite B
Rock Hill, SC 29732 - Phone
- (803) 328-1234
- Fax
- (269) 979-7766
- NPI assigned
- Apr 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6301006337 | MI | Primary |
Addresses
Primary practice location
1477 Ebenezer Rd
Suite B
Rock Hill, SC 29732
Mailing address
1477 Ebenezer Rd
Suite B
Rock Hill, SC 29732
Phone (803) 328-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6301006337 | Other | MI | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301006337 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1962728899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1477 EBENEZER RD",
"address_2": "SUITE B",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "29732",
"telephone_number": "803-328-1234",
"fax_number": "269-979-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1477 EBENEZER RD",
"address_2": "SUITE B",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "29732",
"telephone_number": "803-328-1234",
"fax_number": "269-979-7766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "WAYNE",
"middle_name": "GERALD",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-16",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6301006337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "6301006337",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.