Individual
NPI 1639415920 · Emotionally Disturbed Childrens' Residential Treatment Facility · Columbia, SC
Individual is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Columbia, SC (NPI 1639415920).
Provider details
- NPI number
- 1639415920
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jan Giesen, Director of Social Work(803) 896-4813
- License
- 5322 (SC)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-12-14
- Last updated
- 2012-12-14
Frequently asked questions
- What is Individual's NPI number?
- Individual's National Provider Identifier (NPI) is 1639415920, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Individual?
- Individual is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Individual located?
- Individual's practice location on file with NPPES is 1725 Shivers Rd, Columbia, SC 29210-5413.
- What is Individual's phone number?
- The practice phone number listed in the NPPES registry for Individual is (803) 896-5732.
- Who is the authorized official for Individual?
- The authorized official listed on Individual's NPPES record is Jan Giesen, Director of Social Work. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Individual's NPI active?
- Yes — Individual's NPI (1639415920) is active in the NPPES registry as of the last update on 2012-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.