CAROLINA YOUTH COMBAT SYSTEMS — NPI 1255525648 (Licensed & Credentialed Counselor in EDGEFIELD, SC)

CMS-1500 Box 24J / 33a • NPI

1255525648

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

101Y00000X

Licensed & Credentialed Counselor

Box 32 Service Location & ZIP+4

722 AUGUSTA RD, EDGEFIELD, SC, 29824

Official NPPES Practice Location

Practice Phone & Referral Fax

(803) 637-5526

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1255525648 (CAROLINA YOUTH COMBAT SYSTEMS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1255525648` (NPI-2 Organization / Facility)
Provider / Legal Name	CAROLINA YOUTH COMBAT SYSTEMS
Plain-English Specialty	Licensed & Credentialed Counselor NUCC Code: `101Y00000X` (Counselor)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	722 AUGUSTA RD, EDGEFIELD, SC, 29824
Practice Telephone / Fax	Tel: (803) 637-5526
Administrative Mailing Address	133 NICHOLSON RD, TRENTON, SC, 29847-2629
Enumeration & Last Sync	Enumerated: 2007-08-29 \| CMS Record Updated: 2007-08-29
Authorized Official	ADELL DOBEY (PRESIDENT/CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

722 AUGUSTA RD, EDGEFIELD, SC, 29824

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Plain-English Taxonomy & CMS Crosswalk (101Y00000X)

What Does Taxonomy Code 101Y00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101Y00000X translates to:
"Licensed & Credentialed Counselor"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CAROLINA YOUTH COMBAT SYSTEMS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101Y00000X` — Counselor Plain English: Licensed & Credentialed Counselor	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CAROLINA YOUTH COMBAT SYSTEMS (NPI #1255525648)