PROFESSIONAL ADDICTION SERVICES LLC
NPI 1922583277
Community/Behavioral Health in Summerville, SC

Q: What is Professional Addiction Services LLC's NPI number?

The NPI number for Professional Addiction Services LLC is 1922583277. It was assigned to this organization in the NPPES registry on October 2, 2018.

Q: What is Professional Addiction Services LLC's specialty?

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

Active since October 02, 2018

204 N CEDAR ST STE 100, SUMMERVILLE, SC 29483(843) 821-2480(843) 875-3149 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2025, Oct 4, 2018 (2 updates tracked since 2018).

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About Professional Addiction Services Llc NPPES

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

PROFESSIONAL ADDICTION SERVICES LLC (NPI 1922583277) is a healthcare organization registered as a community/behavioral health in Summerville, South Carolina and active in the NPI registry since October 2018. The organization lists Kathleen Waters, Owner, as its authorized official.

NPPES Registry Identity

NPI1922583277

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePROFESSIONAL ADDICTION SERVICES LLC

Location Address204 N CEDAR ST STE 100Summerville, SC 29483-6453

Mailing Address306 Brick Kiln DrSummerville, SC 29483-5415 · (254) 760-9603

Phone(843) 821-2480

Fax(843) 875-3149

Organization SubpartNo

Authorized OfficialKathleen WatersOwner · (254) 760-9603

Enumeration DateOctober 2, 2018

Last NPPES UpdateApril 9, 20252 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1922583277 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.

204 N CEDAR ST STE 100, Summerville, SC 29483

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Accepted Insurance

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

Professional Addiction Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Professional Addiction Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kathleen Waters, APRN

Nurse Practitioner

NPI 1295028959

204 N CEDAR ST STE 100
Summerville, SC 29483

(843) 821-2480

✔ PECOS✔ Accepts MedicareSame address

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 Professional Addiction Services LLC's NPI number?

The NPI number for Professional Addiction Services LLC is 1922583277. It was assigned to this organization in the NPPES registry on October 2, 2018.

Where is Professional Addiction Services LLC located?

Professional Addiction Services LLC is located at 204 N Cedar St Ste 100, Summerville, SC 29483. The listed phone number is (843) 821-2480.

What is Professional Addiction Services LLC's specialty?

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

Is Professional Addiction Services LLC enrolled in Medicare?

Yes. Professional Addiction Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Professional Addiction Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Professional Addiction Services 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Professional Addiction Services LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Professional Addiction Services 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 Professional Addiction Services LLC was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.