CALVIN A. EDMUNDSON LPC
NPI 1962014175
Counselor - Professional in Columbia, SC

Q: What is Calvin Edmundson's NPI number?

The NPI number for Calvin Edmundson is 1962014175. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Q: What is Calvin Edmundson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Calvin Edmundson was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 19, 2020PECOS EnrolledAccepts Medicare Assignment

4605 MONTICELLO RD STE 3, COLUMBIA, SC 29203(803) 754-0151(803) 691-1778 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2025, Aug 19, 2020 (2 updates tracked since 2020).

On this page

About Calvin A. Edmundson Lpc NPPES

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

CALVIN A. EDMUNDSON LPC (NPI 1962014175) is an individual professional provider in Columbia, South Carolina, licensed in South Carolina (7568) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Spartanburg, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962014175

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameCALVIN A. EDMUNDSONCredential: LPC

Location Address4605 MONTICELLO RD STE 3Columbia, SC 29203-4156

Mailing Address169 Laurelhurst AveColumbia, SC 29210-3825 · (803) 733-5969 · Fax (803) 753-5591

Phone(803) 754-0151

Fax(803) 691-1778

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 19, 2020

Last NPPES UpdateDecember 22, 20252 updates tracked since enumeration

NPPES CertifiedDecember 22, 2025

✔ NPI 1962014175 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 · 7568

4605 MONTICELLO RD STE 3, Columbia, SC 29203

Open in Google Maps ↗

Secondary Practice Location 1

Location 1391 Serpentine Dr Ste 400Spartanburg, SC 29303-3081 · Phone (864) 560-7517 · Fax (864) 560-7520

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Calvin A. Edmundson 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 ID840735130

PECOS Enrollment IDI20240710005282

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 3

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

MRS. AMANDA ELAINE RICHARDSON LPC

Counselor (Professional)

4605 MONTICELLO RD STE 3
COLUMBIA, SC 29203

Richland County (803) 754-0151

ANGEL JAIMEE ROSS NP

Nurse Practitioner (Family)

4605 MONTICELLO RD STE 3
COLUMBIA, SC 29203

Richland County (803) 754-0151

DR. WOODROW ANTHONY BELL M.D.

Family Medicine

4605 MONTICELLO RD STE 3
COLUMBIA, SC 29203

Richland County (803) 754-0151

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 Calvin Edmundson's NPI number?

The NPI number for Calvin Edmundson is 1962014175. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Where is Calvin Edmundson located?

Calvin Edmundson practices at 4605 Monticello Rd Ste 3, Columbia, SC 29203. The listed phone number is (803) 754-0151.

What is Calvin Edmundson's specialty?

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

Is Calvin Edmundson enrolled in Medicare?

Yes. Calvin Edmundson 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.

What insurance does Calvin Edmundson accept?

Health plans from BlueCross BlueShield of South Carolina and First Choice Next list Calvin Edmundson 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 Calvin Edmundson was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.