Organization Active NPI

Palmetto Family Works LLC

  • Professional Counselor
  • Florence, SC
National Provider Identifier
1043432180
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PALMETTO FAMILY WORKS LLC
Practice address
2135 Hoffmeyer Rd Ste B
Florence, SC 29501-4087
Phone
(843) 615-2770
Fax
(864) 228-7247
NPI assigned
May 2, 2007
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Jennifer F Elkins, LPCNPI 1003875519
Title
Owner
Phone
(843) 615-2770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4156 SC
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

2135 Hoffmeyer Rd Ste B
Florence, SC 29501-4087

Mailing address

887 NE Main St Ste C
Simpsonville, SC 29681-2041
Phone (843) 615-2770

Other practice location 1

887 NE Main St Ste C
Simpsonville, SC 29681-2041
Phone (843) 615-2770

Other identifiers 2

IdentifierTypeStateIssuer
GP547MedicaidSC
GP5471MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171002001547 SC Part B Supplier - Clinic/Group Practice 8224303250 Receives reassigned benefits from 5 practitioners
Practice locations: Florence, SC; Simpsonville, SC

National Provider Directory

National Provider Directory

Locations

2135 Hoffmeyer Rd
Ste B
Florence, SC 29501
Phone (843) 661-6030

887 NE Main St
Ste C
Simpsonville, SC 29681
Phone (843) 615-2770

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1043432180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 NE MAIN ST STE C",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812041",
            "telephone_number": "843-615-2770",
            "fax_number": "864-228-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 HOFFMEYER RD STE B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014087",
            "telephone_number": "843-615-2770",
            "fax_number": "864-228-7247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "887 NE Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296812041",
            "country_code": "US",
            "telephone_number": "843-615-2770",
            "fax_number": "864-228-7247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALMETTO FAMILY WORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-615-2770",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4156",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP547",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5471",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.