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

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: October 25, 2026.

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

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
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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 First Choice Next, Molina Healthcare.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

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.

Medicare Billing Reassignments

2

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

Eau Claire Cooperative Health Center, Inc.
Same address
Podiatrist
4605 MONTICELLO RD STE 2, BUILDING B
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 145 clinicians in this Medicare group
NPI 1093093346 (803) 705-3172
Spartanburg Medical Center
57 mi
Obstetrics & Gynecology
319 W SOUTH ST
Union, SC 29379
  • Reassigned Medicare billing, South Carolina enrollment
  • 308 clinicians in this Medicare group
NPI 1164807376 (864) 560-6563

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

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.

Which organizations bill Medicare for Calvin Edmundson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Calvin Edmundson reassigns Medicare benefits to 2 organizations: Eau Claire Cooperative Health Center, Inc. (Columbia, SC) and Spartanburg Medical Center (Union, SC). 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 Calvin Edmundson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Calvin Edmundson accept?

Health plans from First Choice Next and Molina Healthcare 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 10 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.