Mending Fences Therapeutic Services

Key facts

NPI: 1992250815
Entity type: Organization (NPI type 2)
Primary specialty: Professional Counselor 101YP2500X
License: 6374 (SC)
Legal business name: MENDING FENCES THERAPEUTIC SERVICES
Practice address: 358 Nina Lee Dr
Columbia, SC 29203-1812
Phone: (803) 351-8221
NPI assigned: Aug 20, 2016
Organization subpart: No

Authorized official

Name: Alysee Christine Jones, LPC
Title: Managing Partner
Phone: (803) 351-8221

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YP2500X	9100	NC
Professional Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YP2500X	6374	SC	Yes

Addresses

Primary practice location

358 Nina Lee Dr
Columbia, SC 29203-1812

Mailing address

358 Nina Lee Dr
Columbia, SC 29203-1812
Phone (803) 351-8221

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 20, 2016.

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1992250815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 NINA LEE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292031812",
            "telephone_number": "803-351-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 NINA LEE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292031812",
            "telephone_number": "803-351-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING FENCES THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ALYSEE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "803-351-8221",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9100",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

All providers in Columbia, SC · Professional Counselor in South Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.