ABUNDANT LIFE COUNSELING AND SUPPORTIVE SERVICES — NPI 1366241218 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1366241218

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

101YP2500X (CMS E2)

Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor

Box 32 Service Location & ZIP+4

800 LEGION ST STE 101B, CONWAY, SC, 29526-4825

✓ 9-Digit EDI 837 ZIP+4 (29526-4825)

Practice Phone & Referral Fax

(000) 000-0000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1366241218 (ABUNDANT LIFE COUNSELING AND SUPPORTIVE SERVICES) 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	`1366241218` (NPI-2 Organization / Facility)
Provider / Legal Name	ABUNDANT LIFE COUNSELING AND SUPPORTIVE SERVICES
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor NUCC Code: `101YP2500X` (Counselor, Professional)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	800 LEGION ST STE 101B, CONWAY, SC, 29526-4825
Practice Telephone / Fax	Tel: (000) 000-0000
Administrative Mailing Address	2405 FARMWOOD CIR, CONWAY, SC, 29527-3128
Enumeration & Last Sync	Enumerated: 2025-03-12 \| CMS Record Updated: 2025-03-12
Authorized Official	LANIECE LANGLEY (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

800 LEGION ST STE 101B, CONWAY, SC, 29526-4825

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Plain-English Taxonomy & CMS Crosswalk (101YP2500X)

What Does Taxonomy Code 101YP2500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YP2500X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor"

CMS-1500 Medicare Specialty Crosswalk: CMS Code E2 (Licensed Professional Counselor)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, Professional for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABUNDANT LIFE COUNSELING AND SUPPORTIVE SERVICES)

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
`101YP2500X` — Counselor, Professional Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ABUNDANT LIFE COUNSELING AND SUPPORTIVE SERVICES (NPI #1366241218)