MHA (NPI# 1285962886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285962886 |
| Entity Type | Organization |
| Organization Name | MHA |
| Practice Address |
200 Claude Bundrick Rd Blythewood SC 29016-9420 |
| Mailing Address |
419 Torwood Dr Columbia SC 29203 |
| Practice Telephone | 8037865478 |
| Mailing Telephone | 8037140948 |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |
| Authorized Official Name | MS. CARLISSA Y GOODWIN (CARE PROVIDER) |
| Authorized Official Telephone | 8037359680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
101YM0800X | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750751178 | Mha | Counselor | 420 W 19th St Ste B, Costa Mesa, CA 92627-2026 | 2015-09-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MHA | 600 W. Virginia St Ste 502, Milwaukee, WI 53204-1551 |
| New York State Corporations | MHA (D-0702) LLC | 689 Fifth Avenue, 4th Floor, New York, New York 10022 |
| Connecticut Business Registrations | MHA 20-28 FAIRFIELD COMMONS LLC | 434 Maplewood Avenue, Bridgeport, CT 06605 |
| System for Award Management (SAM) Entities | MHA AUDIO, LLC | 4451 Georgia Pacific Blvd Ste S, Frederick, MD 21704-7106 |
| Washington State Corporations | MHA AUTO SPECIALTIES LLC | 8121 E Sprague Ave, Spokane Vly, WA 99212-2911 |
| Washington State Corporations | MHA BUILDING SYSTEMS LLC | 1333 E Kettleman Ln, Lodi, CA 95240-9765 |
| New York State Corporations | MHA CONSTRUCTION, INC. | 1578 Forest Avenue, 2nd Floor, Staten Island, New York 10302 |
| Connecticut Business Registrations | MHA CUSTOM HOME BUILDERS, INC. | 5672 Allentown Pike, Reading, PA 19605 |
| Connecticut Business Registrations | Mha Developers, LLC | 312 Commonwealth Ave, New Britain, CT 06053 |
| Connecticut Business Registrations | Mha Fairfield Commons I, Inc. | C/O Mutual Housing Association Of, Southwestern Ct, Inc., 63 Stillwater Ave., Stamford, CT 06902 |
| Street Address |
200 CLAUDE BUNDRICK RD |
| City | BLYTHEWOOD |
| State | SC |
| Zip Code | 29016-9420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780728709 | David Ralph Abney | Counselor | 200 Claude Bundrick Rd, Blythewood, SC 29016-9420 | 2007-02-16 |
| 1366764870 | Kiva Lodge | Community/Behavioral Health | 200 Claude Bundrick Rd, Blythewood, SC 29016-9420 | 2010-02-25 |
| 1942531579 | Carlissa Yvette Goodwin | Case Manager/Care Coordinator | 200 Claude Bundrick Rd, Blythewood, SC 29016-9420 | 2010-01-21 |
| 1942530233 | Mental Health America | Community Based Residential Treatment Facility, Mental Illness | 200 Claude Bundrick Rd, Blythewood, SC 29016 | 2010-01-08 |
| 1821237769 | Tammra Buchanan | Counselor | 200 Claude Bundrick Rd, Blythewood, SC 29016-9420 | 2009-02-17 |
| 1902050362 | Sharon Foster Sanders | Nurse's Aide | 200 Claude Bundrick Rd, Blythewood, SC 29016-9420 | 2008-11-12 |
| 1184807364 | Jessie Driggers | Counselor | 200 Claude Bundrick Rd, Kiva Lodge, Blythewood, SC 29016-9420 | 2007-12-11 |
| 1528187457 | Kimberly Hunter Shider | Counselor | 200 Claude Bundrick Rd, Kiva Lodge, Blythewood, SC 29016-9420 | 2007-03-29 |
| 1871612002 | Norward Earl Jackson | Counselor | 200 Claude Bundrick Rd, Kiva, Blythewood, SC 29016-9420 | 2007-03-28 |
| 1679690572 | Matrice Sharnan Rouse | Counselor | 200 Claude Bundrick Rd, Blythewood, SC 29016-9420 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151870 | Soo Ji Mun | Student in an Organized Health Care Education/Training Program | 3049 Gedney Circle, Blythewood, SC 29016 | 2020-07-09 |
| 1427600196 | Josie Gandy Drew Britt | Speech-Language Pathologist | Langford Elementary, 480 Langford Road, Blythewood, SC 29016 | 2019-07-12 |
| 1740843093 | Helping Hearts Development Corporation | In Home Supportive Care | 311 Blythewood Road, Blythewood, SC 29016 | 2019-04-22 |
| 1063933125 | Shawn Tyler | Registered Nurse | 1017 Fulmer Road, Blythewood, SC 29016 | 2017-06-29 |
| 1497290852 | Carolina Roses of Blythewood LLC | Community Based Residential Treatment Facility, Mental Illness | 5338 Hardscrabble Rd, Blythewood, SC 29016 | 2016-12-21 |
| 1598129512 | Brooke L. Green | Physical Therapy Assistant | 428-3 Mcnulty Road, Blythewood, SC 29016 | 2016-04-06 |
| 1922468909 | Prince George Transport | Ambulance | 200 Louthian Way, Blythewood, SC 29016 | 2016-03-03 |
| 1760849459 | Sherry Macaluso | Counselor | 2008 Old Birch Drive, Blythewood, SC 29016 | 2016-01-26 |
| 1851559629 | John C Cosby Jr Dmd Pa | Dentist | 745 University Village Drive, Blythewood, SC 29016 | 2008-05-29 |
| 1427242031 | Fairfield Medical Associates,pa | Specialist | 428 2 Mcnulty Road, Blythewood, SC 29016 | 2007-08-28 |
| Find all providers in zip 29016 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703644 | Lisa Vincent | Counselor | 108 Bent Oak Trl, Blythewood, SC 29016-8380 | 2020-08-31 |
| 1164858965 | Sabrina Wright | Counselor | 208 Hawkins Creek Rd, Blythewood, SC 29016-7230 | 2013-09-25 |
| 1780728709 | David Ralph Abney | Counselor | 200 Claude Bundrick Rd, Blythewood, SC 29016-9420 | 2007-02-16 |
| 1821237769 | Tammra Buchanan | Counselor | 200 Claude Bundrick Rd, Blythewood, SC 29016-9420 | 2009-02-17 |
| 1184807364 | Jessie Driggers | Counselor | 200 Claude Bundrick Rd, Kiva Lodge, Blythewood, SC 29016-9420 | 2007-12-11 |
| 1528187457 | Kimberly Hunter Shider | Counselor | 200 Claude Bundrick Rd, Kiva Lodge, Blythewood, SC 29016-9420 | 2007-03-29 |
| 1871612002 | Norward Earl Jackson | Counselor | 200 Claude Bundrick Rd, Kiva, Blythewood, SC 29016-9420 | 2007-03-28 |
| 1679690572 | Matrice Sharnan Rouse | Counselor | 200 Claude Bundrick Rd, Blythewood, SC 29016-9420 | 2007-03-23 |
| 1023148384 | Mary Sandra Alleyne-mcmillan | Counselor | 200 Claude Bundrick Rd, Blythewood, SC 29016-9420 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225450 | Aligning Life's Responsibilities, LLC | Counselor | 1361 W Wade Hampton Blvd Ste F153, Greer, SC 29650-1146 | 2020-11-03 |
| 1649879008 | Marianne Matos | Counselor | 93 Acorn Ln, Aiken, SC 29801-7621 | 2020-10-18 |
| 1568060291 | Serenity Therapy Services | Counselor | 4607 Charlotte Hwy Ste 18, Lake Wylie, SC 29710-8149 | 2020-10-14 |
| 1679171391 | Jeanne Harrell | Counselor | 860 Lowcountry Blvd Ste B, Mt Pleasant, SC 29464-3091 | 2020-10-14 |
| 1700484714 | Shira Simmons Culbreath | Counselor | 5124 Norway Ln, Rock Hill, SC 29732-8399 | 2020-10-12 |
| 1659978047 | Allyssa Resech | Counselor | 2075 Calloway Pines Dr, Tega Cay, SC 29708-7206 | 2020-10-08 |
| 1912514555 | Melissa-miles Dunn | Counselor | 451 Folly Rd Ste 107, Charleston, SC 29412-2640 | 2020-09-28 |
| 1396351953 | Dennis Austin Everson | Counselor | 102 Commons Blvd # C, Piedmont, SC 29673-7766 | 2020-09-18 |
| 1346855228 | Christopher B. Briggman | Counselor | 4501 Mixson Ave Apt 322, North Charleston, SC 29405-3227 | 2020-09-09 |
| 1508470840 | Christine Schaub | Counselor | 214 Autumn Run Cir, Columbia, SC 29229-7622 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEWOOD |
| Zip Code | 29016 |
Please comment or provide details below to improve the information on MHA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.