Individual provider Active NPI

Elizabeth H Yegge

  • School Psychologist
  • Fort Mill, SC
National Provider Identifier
1043980659
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
4688 Issued in SC
Practice address
100 Stone Village Dr
Fort Mill, SC 29708-6588
Phone
(803) 373-1159
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 4688 SC Primary

Addresses

Primary practice location

100 Stone Village Dr
Fort Mill, SC 29708-6588

Mailing address

100 Stone Village Dr
Fort Mill, SC 29708-6588
Phone (803) 373-1159

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hello@andersoncounseling.sprucecare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4688SCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1043980659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STONE VILLAGE DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086588",
            "telephone_number": "803-373-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STONE VILLAGE DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086588",
            "telephone_number": "803-373-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEGGE",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "4688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@andersoncounseling.sprucecare.com",
            "affiliation": "N",
            "endpointDescription": "Spruce",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Stone Village Dr",
            "city": "Fort Mill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297086588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.