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PATRICIA KELLY CARD LPC
NPI 1639774094
Counselor - Professional in Columbia, SC

Active since December 03, 2020PECOS EnrolledAccepts Medicare Assignment
113 EXECUTIVE POINTE BLVD, COLUMBIA, SC 29210(803) 477-3736 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2023, Dec 3, 2020 (2 updates tracked since 2020).

About Patricia Kelly Card Lpc NPPES

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

PATRICIA KELLY CARD LPC (NPI 1639774094) is an individual professional provider in Columbia, South Carolina, licensed in South Carolina (8462) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Myrtle Beach, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639774094
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePATRICIA KELLY CARDCredential: LPC
Location Address113 EXECUTIVE POINTE BLVDColumbia, SC 29210-5681
Mailing Address3560 Ash StMyrtle Beach, SC 29577-5019 · (954) 451-7845
Phone(803) 477-3736
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 3, 2020
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1639774094 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 · 8462
113 EXECUTIVE POINTE BLVD, Columbia, SC 29210
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Secondary Practice Location 1

Location 11551 21st Ave N Ste 17Myrtle Beach, SC 29577-7496 · Phone (843) 868-6200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patricia Kelly Card Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860843273
PECOS Enrollment IDI20240110002996
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Patricia Card reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thrive Counseling LLC
259 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, South Carolina enrollment
  • 80 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483
Dandelion Behavioral Health LLC
488 mi
Mental Health (Including Community Mental Health Center)
1777 TAMIAMI TRL
Port Charlotte, FL 33948
  • Reassigned Medicare billing, Florida enrollment
  • 20 clinicians in this Medicare group
NPI 1053028787 (941) 780-4268

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 Patricia Card's NPI number?

The NPI number for Patricia Card is 1639774094. It was assigned to this individual provider in the NPPES registry on December 3, 2020.

Where is Patricia Card located?

Patricia Card practices at 113 Executive Pointe Blvd, Columbia, SC 29210. The listed phone number is (803) 477-3736.

What is Patricia Card's specialty?

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

Is Patricia Card enrolled in Medicare?

Yes. Patricia Card is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Patricia Card's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Card reassigns Medicare benefits to 2 organizations: Thrive Counseling LLC (Lynchburg, VA) and Dandelion Behavioral Health LLC (Port Charlotte, FL). Each 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 Patricia Card's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Card accept?

Health plans from BlueCross BlueShield of South Carolina, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Patricia Card 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 Patricia Card was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.