Columbia Area Mental Health

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

PR 38235 Issued in SC

Legal business name

COLUMBIA AREA MENTAL HEALTH

Practice address

1135 Carter St
Columbia, SC 29204-2811

Phone

(806) 786-1183

Fax

(803) 754-6051

NPI assigned

May 17, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Sivi Burns Daniels, LPN

Title

LPN

Phone

(803) 419-1526

Specialties & licenses 1

Addresses

Other names 1

• Carter J Street Other name

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1972863496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 CARTER ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042811",
            "telephone_number": "806-786-1183",
            "fax_number": "803-754-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CARTER ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042811",
            "telephone_number": "806-786-1183",
            "fax_number": "803-754-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA AREA MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "SIVI",
        "authorized_official_middle_name": "BURNS",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "803-419-1526",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "SC",
            "license": "PR 38235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carter J Street",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Columbia Adult Care on Main
• Columbia Allergy Clinic
• Columbia Area Mental Health
• Columbia Area Mental Health
• Columbia Area Mental Health
• Columbia Arthritis Center, PA
• Columbia ASC LLC
• Columbia ASC Northwest LLC
• Columbia Audiology Group
• Columbia Cardiology

• Mental Illness Community Based Residential Treatment Facility in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Illness Community Based Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.