MIRCI
NPI 1194047563
Community/Behavioral Health in Columbia, SC

Active since February 25, 2010CLIA 42D2119173 · Waiver
3809 ROSEWOOD DR, COLUMBIA, SC 29205(803) 786-1844(803) 939-2646 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2020, Mar 30, 2016 (2 updates tracked since 2016).

About Mirci NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRCI (NPI 1194047563) is a healthcare organization registered as a community/behavioral health in Columbia, South Carolina and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through September 20, 2028 and lists Julie Ann Avin, President & Executive Director, as its authorized official.

NPPES Registry Identity

NPI1194047563
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMENTAL ILLNESS RECOVERY CENTER
Location Address3809 ROSEWOOD DRColumbia, SC 29205-3533
Mailing Address1408 Gregg StColumbia, SC 29201 · (803) 786-1844 · Fax (803) 939-2646
Fax(803) 939-2646
Organization SubpartNo
Authorized OfficialJulie Ann AvinPresident & Executive Director · (803) 786-1844
Enumeration DateFebruary 25, 2010
Last NPPES UpdateSeptember 2, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2020
✔ NPI 1194047563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
3809 ROSEWOOD DR, Columbia, SC 29205

Other Names 1

Other NameMirci

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirci is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Mirci, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Clinical Social Worker
NPI 1679184154
3809 ROSEWOOD DR
Columbia, SC 29205
(803) 939-2642
✔ PECOSSame address
Clinical Social Worker
NPI 1750019923
3809 ROSEWOOD DR
Columbia, SC 29205
(803) 939-2642
✔ PECOSSame address
Nurse Practitioner
NPI 1619515632
2750 LAUREL ST STE 303
Columbia, SC 29204
(803) 939-2642
✔ PECOS✔ Accepts Medicare2.3 mi
Psychiatry
NPI 1730538869
11 RICHLAND MEDICAL PARK DR
Columbia, SC 29203
(803) 434-4300
✔ PECOS✔ Accepts Medicare3.6 mi
Psychiatry
NPI 1871623413
11 RICHLAND MEDICAL PARK DR
Columbia, SC 29203
(803) 434-1691
✔ PECOS✔ Accepts Medicare3.6 mi
Psychiatry
NPI 1699738591
3555 HARDEN STREET EXT 15 MEDICAL PARK RD, SUITE 141
Columbia, SC 29203
(803) 434-4300
✔ PECOS✔ Accepts Medicare3.8 mi
Psychiatry
NPI 1083675615
15 MEDICAL PARK RD SUITE 103
Columbia, SC 29203
(803) 434-4300
✔ PECOS✔ Accepts Medicare3.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2119173

Mental Illness Primary Recovery Center, Inc · Columbia, SC
Active · expires Sep 20, 2028
CLIA Number42D2119173
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 21, 2026
Certificate Expiration DateSeptember 20, 2028
Laboratory DirectorLeslie Alderman
Laboratory Phone(803) 786-1844
Laboratory LocationMental Illness Primary Recovery Center, Inc2750 Laurel Street Suite 303, Columbia, SC 29204
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mental Illness Recovery Center's NPI number?

The NPI number for Mental Illness Recovery Center is 1194047563. It was assigned to this organization in the NPPES registry on February 25, 2010. The provider is also known as Mirci.

Where is Mental Illness Recovery Center located?

Mental Illness Recovery Center is located at 3809 Rosewood Dr, Columbia, SC 29205. The listed phone number is (803) 786-1844.

What is Mental Illness Recovery Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Mental Illness Recovery Center enrolled in Medicare?

Yes. Mental Illness Recovery Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mental Illness Recovery Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Mental Illness Recovery Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (4), Clinical Social Worker (2) and Nurse Practitioner (1). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mental Illness Recovery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2119173) is associated with this NPI, valid through September 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mental Illness Recovery Center accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Mental Illness Recovery Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mental Illness Recovery Center was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.