CMS-1500 Box 24J / 33a • NPI
1295618106
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
101YP1600X
Licensed & Credentialed Counselor, Pastoral
Box 32 Service Location & ZIP+4
3535 STARLING RD, MULLINS, SC, 29574-7330
✓ 9-Digit EDI 837 ZIP+4 (29574-7330)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1295618106 (COVERED BY CHUKWU) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1295618106 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | COVERED BY CHUKWU |
| Plain-English Specialty | Licensed & Credentialed Counselor, Pastoral NUCC Code: 101YP1600X (Counselor, Pastoral) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3535 STARLING RD, MULLINS, SC, 29574-7330 |
| Practice Telephone / Fax | Tel: (843) 591-4546 |
| Administrative Mailing Address | 3535 STARLING RD, MULLINS, SC, 29574-7330 |
| Enumeration & Last Sync | Enumerated: 2025-07-28 | CMS Record Updated: 2025-08-17 |
| Authorized Official | SHARAI MONTGOMERY (Outreach and Equity Director) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (101YP1600X)
What Does Taxonomy Code 101YP1600X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YP1600X translates to:
"Licensed & Credentialed Counselor, Pastoral"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (COVERED BY CHUKWU)
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
- 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 |
|---|---|
282J00000X — Religious Nonmedical Health Care InstitutionPlain English: Licensed & Credentialed Hospitals — Religious Non-medical Health Care Institution | State: N/A | License: Verified | Primary: Secondary |
251B00000X — Case ManagementPlain English: Licensed & Credentialed Case Management | State: N/A | License: Verified | Primary: Secondary |
374K00000X — Religious Nonmedical PractitionerPlain English: Licensed & Credentialed Religious Nonmedical Practitioner | State: N/A | License: Verified | Primary: Secondary |
374T00000X — Religious Nonmedical Nursing PersonnelPlain English: Licensed & Credentialed Religious Nonmedical Nursing Personnel | State: N/A | License: Verified | Primary: Secondary |
101YP1600X — Counselor, PastoralPlain English: Licensed & Credentialed Counselor, Pastoral | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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