Active NPI
Deitrich Andera Drayton, MS
- Mental Health Counselor
- Columbia, SC
National Provider Identifier
1992323166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9949
- Practice address
- 517 Howard St
Columbia, SC 29205-3820 - Phone
- (803) 606-9661
- NPI assigned
- Jul 13, 2020
- Last updated
- Aug 13, 2024
- Sex
- Female
- 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 | 9949 | SC | Primary |
Addresses
Primary practice location
517 Howard St
Columbia, SC 29205-3820
Mailing address
517 Howard St
Columbia, SC 29205-3820
Phone (803) 606-9661
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9949 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1992323166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 HOWARD ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292053820",
"telephone_number": "803-606-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 HOWARD ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292053820",
"telephone_number": "803-606-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAYTON",
"first_name": "DEITRICH",
"middle_name": "ANDERA",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-13",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "9949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Drayer Physical Therapy Institute LLC
- Drayer Physical Therapy-South Carolina, LLC
- Drayer Physical Therapy-South Carolina, LLC
- Drayer Physical Therapy-South Carolina, LLC
- Charlotte Storey Drayton, MA, CACP
- Kathryn Teresa Drazba, MS
- Dream Helpers
- Gina Vitali Cox Dreessen, DPT
- Caitlin Marie Dreher, PHARMD.
- Harold A Dreher, M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.