FULLCIRCLE COUNSELING SERVICE AND CONSULTATION
NPI 1417341611
Counselor - Professional in Columbia, SC

Active since March 25, 2015
105 PACES BROOK AVE, #518, COLUMBIA, SC 29212(803) 467-4125(803) 569-6523 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Fullcircle Counseling Service And Consultation NPPES

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

FULLCIRCLE COUNSELING SERVICE AND CONSULTATION (NPI 1417341611) is a healthcare organization registered as a professional in Columbia, South Carolina and active in the NPI registry since March 2015. The organization lists Kenneth Leon Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1417341611
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameFULLCIRCLE COUNSELING SERVICE AND CONSULTATION
Location Address105 PACES BROOK AVE, #518Columbia, SC 29212-1642
Mailing Address105 Paces Brook Ave, #518Columbia, SC 29212-1642 · (803) 467-4125 · Fax (803) 569-6523
Fax(803) 569-6523
Organization SubpartNo
Authorized OfficialKenneth Leon MartinOwner · (803) 467-4125
Enumeration DateMarch 25, 2015
✔ NPI 1417341611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 4911
105 PACES BROOK AVE, Columbia, SC 29212

Other Identifiers 1

MedicaidPC1102SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
105 PACES BROOK AVE, #10518
COLUMBIA, SC 29212

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 Fullcircle Counseling Service And Consultation's NPI number?

The NPI number for Fullcircle Counseling Service And Consultation is 1417341611. It was assigned to this organization in the NPPES registry on March 25, 2015.

Where is Fullcircle Counseling Service And Consultation located?

Fullcircle Counseling Service And Consultation is located at 105 Paces Brook Ave #518, Columbia, SC 29212. The listed phone number is (803) 467-4125.

What is Fullcircle Counseling Service And Consultation's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Fullcircle Counseling Service And Consultation was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.