North Palm Counseling Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NORTH PALM COUNSELING CENTER, LLC

Practice address

7138 Cross County Rd Ste C
North Charleston, SC 29418-3328

Phone

(843) 225-7884

Fax

(843) 225-4768

NPI assigned

Dec 30, 2020

Last updated

Jan 15, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTH PALM COMMUNITY CHURCHAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelli Kennedy, M.ED, LPCNPI 1437665916

Title

Clinical Director

Phone

(843) 225-7884

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelli Kennedy, LPC

  • Professional Counselor
  • North Charleston, SC
  • NPI 1437665916

  Mental Health

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1013504539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7167 BRYHAWKE CIR STE B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294183341",
            "telephone_number": "843-225-7884",
            "fax_number": "843-225-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 CROSS COUNTY RD STE C",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294183328",
            "telephone_number": "843-225-7884",
            "fax_number": "843-225-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PALM COUNSELING CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH PALM COMMUNITY CHURCH",
        "enumeration_date": "2020-12-30",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "843-225-7884",
        "authorized_official_credential": "M.ED, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• North Charleston Dental Outreach
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• Maureen Murphy North, PA-C
• Northwoods Family Practice, LLC.
• Carolyn Norwood, RN
• Nova Helix Multi Clinic LLC

• Professional Counselor in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.