COUNSELING AND INNOVATIVE TREATMENT SERVICES (NPI# 1780968347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780968347 |
| Entity Type | Organization |
| Organization Name | COUNSELING AND INNOVATIVE TREATMENT SERVICES |
| Practice Address |
2712 Middleburg Dr Suite 206 Columbia SC 29204-2415 |
| Practice Telephone | 8037790169 |
| Mailing Telephone | 8037790169 |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-10-31 |
| Authorized Official Name | MRS. DEBORAH JACKSON (CEO) |
| Authorized Official Telephone | 8037790169 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 5286 | SC | Managed Care Organizations |
| Street Address |
2712 MIDDLEBURG DR SUITE 206 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132075 | Andrea Marie Lazaro | Pediatrics | 2712 Middleburg Dr, Suite 101 Midlands Pediatrics, Columbia, SC 29204 | 2005-08-29 |
| 1801434402 | Megan Colleen Brogan | Nurse Practitioner | 2712 Middleburg Dr, Columbia, SC 29204-2415 | 2019-12-13 |
| 1134787138 | Jaclyn Turner Sload | Counselor | 2712 Middleburg Dr, Columbia, SC 29204-2415 | 2019-06-04 |
| 1932649696 | Midlands Center for Addiction Treatment | Clinic/Center | 2712 Middleburg Dr, Suite 206, Columbia, SC 29204-2415 | 2017-02-28 |
| 1891247730 | Brittany Dorn | Social Worker | 2712 Middleburg Dr, Suite 206, Columbia, SC 29204-2415 | 2016-10-26 |
| 1457725558 | Mindful Clinic | Counselor | 2712 Middleburg Dr, Suite 104, Columbia, SC 29204-2415 | 2015-11-30 |
| 1033580766 | Eric Wayne Powell | Social Worker | 2712 Middleburg Dr, Columbia, SC 29204-2415 | 2015-10-07 |
| 1073994547 | Transcendence, Inc | Counselor | 2712 Middleburg Dr, 206, Columbia, SC 29204-2415 | 2015-06-10 |
| 1962896514 | Caryn Bond | Counselor | 2712 Middleburg Dr, Suite 104, Columbia, SC 29204-2415 | 2015-03-21 |
| 1952727158 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 2712 Middleburg Dr, Ste. 101, Columbia, SC 29204-2415 | 2014-03-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124574744 | I Can't We Can Counseling Center | Preferred Provider Organization | 7060 O(akland Mills Rd, Columbia, MD 21043 | 2016-09-01 |
| 1033454459 | Precious Hands Personal Care LLC | Preferred Provider Organization | 169 Rankin Rd, Columbia, MS 39429-3715 | 2012-12-11 |
| 1619122504 | Prevention &management Outreach Clinic Inc. | Preferred Provider Organization | 5941 Millrace Ct Unit D103, Columbia, MD 21045-7204 | 2008-11-19 |
| 1619154499 | Atkinson Group Inc | Preferred Provider Organization | 1400 Farrington Way Apt C, Columbia, SC 29210-6075 | 2008-01-23 |
| 1023488657 | Blessing Many Souls | Preferred Provider Organization | 502 Washington St, Columbia, MS 39429-8711 | 2015-09-24 |
| 1710222476 | Columbia Implants and Periodontics L.L.C. | Preferred Provider Organization | 201 W Broadway Ste 5a, Columbia, MO 65203-3842 | 2012-12-06 |
| 1386882017 | Abundant Home Care Solutions LLC | Preferred Provider Organization | 2611 Forest Dr, Suite 206, Columbia, SC 29204-2379 | 2009-02-03 |
| 1164644142 | Peter Dexheimer Pa | Preferred Provider Organization | 10840 Little Patuxent Pkwy, Suite 203, Columbia, MD 21044-3115 | 2007-05-02 |
| 1447383666 | Pediatric Associates, P.a. | Preferred Provider Organization | 14 Richland Medical Park Dr, Suite 410, Columbia, SC 29203-6877 | 2007-03-14 |
| 1487759940 | First Presbyterian Church Counseling Center, Inc. | Preferred Provider Organization | 1500 Lady St, Columbia, SC 29201-3402 | 2006-09-13 |
| 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.