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ANGEL OAK COUNSELING
NPI 1477077329
Psychiatry & Neurology - Psychiatry in Johns Island, SC

Active since August 02, 2017
3227 WALTER DR STE 3B, JOHNS ISLAND, SC 29455(843) 872-5454(843) 872-5501 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2024, Jul 21, 2022, Aug 2, 2017 (3 updates tracked since 2017).

About Angel Oak Counseling NPPES

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

ANGEL OAK COUNSELING (NPI 1477077329) is a healthcare organization registered as a psychiatry in Johns Island, South Carolina and active in the NPI registry since August 2017. The organization maintains a secondary practice location in Johns Island and lists Daniel Jay Uderitz, Owner - Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1477077329
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameUDERITZ FAMILY PSYCHIATRY, LLC
Location Address3227 WALTER DR STE 3BJohns Island, SC 29455-8171
Mailing Address3227 Walter Dr Ste 1bJohns Island, SC 29455-8171 · (843) 872-5454 · Fax (843) 872-5501
Phone(843) 872-5454
Fax(843) 872-5501
Organization SubpartNo
Authorized OfficialDaniel Jay UderitzOwner - Psychiatrist · (843) 872-5454
Enumeration DateAugust 2, 2017
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1477077329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in SC · 34478
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 34478 (SC)
3227 WALTER DR STE 3B, Johns Island, SC 29455
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Other Names 1

Doing Business AsAngel Oak Counseling

Secondary Practice Location 1

Location 13227 Walter Dr Ste 1BJohns Island, SC 29455-8171 · Phone (843) 872-5454 · Fax (843) 872-5501

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next.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)

Angel Oak Counseling 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 Angel Oak Counseling, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Michael Malizia, RN
Nurse Practitioner
NPI 1508357534
3227 WALTER DR STE 1B
Johns Island, SC 29455
(843) 872-5454
✔ PECOS✔ Accepts MedicareSame address
Tasha Ponce, MA, LMFT
Marriage and Family Therapist
NPI 1124650825
3227 WALTER DR STE 3B
Johns Island, SC 29455
(843) 872-5454
✔ PECOS✔ Accepts MedicareSame address
Zoie Reviere, DNP
Nurse Practitioner
NPI 1679259204
3227 WALTER DR STE 1B
Johns Island, SC 29455
(843) 872-5454
✔ PECOS✔ Accepts MedicareSame address
Susan Taylor, MSN, APRN, PMHNP-BC
Nurse Practitioner
NPI 1023797594
3227 WALTER DR STE 1B
Johns Island, SC 29455
(843) 872-5454
✔ PECOS✔ Accepts MedicareSame address
Daniel Uderitz, M.D.
Psychiatry
NPI 1295963437
3227 WALTER DR STE 3B
Johns Island, SC 29455
(843) 872-5454
✔ PECOS✔ Accepts MedicareSame address
Chantelle Kapp, LMFT
Marriage and Family Therapist
NPI 1912871518
3227 WALTER DR STE B
Johns Island, SC 29455
(843) 872-5454
✔ PECOS✔ Accepts MedicareSame address
Cordes Simpson, LPC
Mental Health Counselor
NPI 1235454851
655 SAINT ANDREWS BLVD
Charleston, SC 29407
(843) 708-8818
✔ PECOS✔ Accepts Medicare6.0 mi

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

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 Uderitz Family Psychiatry, LLC's NPI number?

The NPI number for Uderitz Family Psychiatry, LLC is 1477077329. It was assigned to this organization in the NPPES registry on August 2, 2017. The provider is doing business as Angel Oak Counseling.

Where is Uderitz Family Psychiatry, LLC located?

Uderitz Family Psychiatry, LLC is located at 3227 Walter Dr Ste 3B, Johns Island, SC 29455. The listed phone number is (843) 872-5454.

What is Uderitz Family Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Uderitz Family Psychiatry, LLC enrolled in Medicare?

Yes. Uderitz Family Psychiatry, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Uderitz Family Psychiatry, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Uderitz Family Psychiatry, LLC. 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 Nurse Practitioner (3), Marriage and Family Therapist (2) and Mental Health Counselor (1). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Uderitz Family Psychiatry, LLC accept?

Health plans from BlueCross BlueShield of South Carolina and First Choice Next list Uderitz Family Psychiatry, LLC 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 Uderitz Family Psychiatry, LLC was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.