SHAKIYAH DELANIA DEMELIEN - NPI 1891472510

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Shakiyah Delania Demelien NPPES

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

SHAKIYAH DELANIA DEMELIEN (NPI 1891472510) is an individual professional provider in Columbia, South Carolina, licensed in South Carolina (8997) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891472510

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSHAKIYAH DELANIA DEMELIEN

Location Address2638 TWO NOTCH RD STE 210Columbia, SC 29204-1454

Mailing Address2638 Two Notch Rd Ste 210Columbia, SC 29204-1454 · (803) 936-1550

Phone(803) 936-1550

Sole ProprietorYes

Enumeration DateJuly 4, 2023

NPPES CertifiedJune 2, 2023

✔ NPI 1891472510 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 · 8997

2638 TWO NOTCH RD STE 210, Columbia, SC 29204

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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Other Providers at the Same Location NPPES 5

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

DAVID SUDAN TYLER LPC

Counselor (Professional)