NPIMap

Organization Active NPI

Columbia Area Mental Health

  • Mental Illness Community Based Residential Treatment Facility
  • Columbia, SC
National Provider Identifier
1972863496
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Ms. Sivi Burns Daniels, LPNNPI 1629331194
Title
LPN
Phone
(803) 419-1526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X PR 38235 SC Primary

Addresses

Primary practice location

1135 Carter St
Columbia, SC 29204-2811

Mailing address

1135 Carter St
Columbia, SC 29204-2811
Phone (806) 786-1183

Other names 1

  • Carter J Street Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

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 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.