MR. KEVIN BRADFORD BYRD (NPI# 1669768750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669768750 |
| Entity Type | Individual |
| Full Name | MR. KEVIN BRADFORD BYRD |
| Credential | LISW-CP, MAC |
| Practice Address |
1403 1/2 Calhoun Street Columbia SC 29201 |
| Practice Telephone | 8034517600 |
| Practice Fax Number | 8034517604 |
| Mailing Telephone | 8034517600 |
| Mailing Fax Number | 8034517604 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2018-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
SC | Behavioral Health & Social Service Providers | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
9378 | SC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
9378 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SW1425 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699725085 | Kevin Andrew Byrd | Obstetrics & Gynecology | 10410 Snook St, San Diego, CA 92124-3320 | 2006-05-10 |
| 1457355141 | Kevin R Byrd | Psychologist | 17 Blue Line Dr, Athens, OH 45701-2325 | 2005-06-09 |
| 1043799802 | Kevin Matthew Byrd | Dentist | 385 S Columbia St, Chapel Hill, NC 27599-0001 | 2018-08-12 |
| 1538406343 | Kevin Byrd | Pharmacist | 14130 W Newberry Rd, Newberry, FL 32669-2759 | 2013-01-14 |
| 1699966309 | Kevin James Byrd | Case Manager/Care Coordinator | 1260 College Ave, Suite 1, Wilkesboro, NC 28697-2700 | 2007-08-07 |
| Street Address |
1403 1/2 CALHOUN STREET |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018265 | Valeri Hampton | Counselor | 12144 Red Stream Way, Columbia, MD 21044-2785 | 2019-02-05 |
| 1336623016 | Tamara Lynn Robinson | Counselor | 1510 Hatcher Ln Ste 1, Columbia, TN 38401-4813 | 2018-09-19 |
| 1871093922 | Ashton Doby Tisdale | Counselor | 1224 Pickens St Ste 220, Columbia, SC 29201-3428 | 2018-02-15 |
| 1255703039 | The Institute for Community and Family Mental Health Services LLC | Counselor | 2400 Two Notch Rd, Columbia, SC 29204-2227 | 2015-10-20 |
| 1710379284 | Hannah Brown | Counselor | 3525 Bellingham Rd, Columbia, SC 29203-5523 | 2015-02-20 |
| 1336545185 | Lisa M Davis | Counselor | 7121 Columbia Gateway Drive, Columbia, MD 21046 | 2014-11-06 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1093120677 | Jennifer Wentworth Wilson | Counselor | 8815 Centre Park Dr Ste 300, Columbia, MD 21045-2299 | 2014-06-23 |
| 1578992251 | Amanda Brown | Counselor | 9023 Garners Ferry Road, Columbia, SC 29061-9687 | 2013-11-04 |
| 1154750842 | Dewayne Rowe Sr. | Counselor | 200 Berryhill Rd Apt 338, Columbia, SC 29210-6452 | 2013-11-04 |
| Find all providers in COLUMBIA | ||||
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| 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.