Individual provider Active NPI

Cherell S. Butler, LISW, CP & AP

  • Counselor
  • Aiken, SC
National Provider Identifier
1972891422
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
002762 Issued in SC
Practice address
410 University Pkwy Ste 2300
Aiken, SC 29801-6807
Phone
(803) 335-1219
Fax
(803) 335-1689
NPI assigned
Jul 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 002762 SC
Counselor 101Y00000X 002762 SC Primary

Addresses

Primary practice location

410 University Pkwy Ste 2300
Aiken, SC 29801-6807

Mailing address

410 University Pkwy Ste 2300
Aiken, SC 29801-6807
Phone (803) 335-1219

Other identifiers 2

IdentifierTypeStateIssuer
570569761OtherSCTAX ID
AD01AKMedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170217000991 SC Practitioner - Clinical Social Worker 7719260793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 University Pkwy
Suite 2300
Aiken, SC 29801-6807
Phone (803) 226-0745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002762SCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Counseling CurrentSince Sep 4, 2018 Accepting new patients

Locations

410 University Pkwy
Ste 2300
Aiken, SC 29801
Phone (803) 226-0745

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972891422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY STE 2300",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016807",
            "telephone_number": "803-335-1219",
            "fax_number": "803-335-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY STE 2300",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016807",
            "telephone_number": "803-335-1219",
            "fax_number": "803-335-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "CHERELL",
        "middle_name": "S.",
        "credential": "LISW, CP & AP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "002762",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "002762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "570569761",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD01AK",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.