Individual provider Active NPI

Jean T Morgan, CCC-SLP

  • Speech-Language Pathologist
  • Charleston, SC
National Provider Identifier
1053921908
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4028 Issued in SC
Practice address
75 Calhoun St
Charleston, SC 29401-3538
Phone
(843) 937-6380
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4028 SC Primary

Addresses

Primary practice location

75 Calhoun St
Charleston, SC 29401-3538

Mailing address

988 Equestrian Dr
Mount Pleasant, SC 29464-3615
Phone (843) 412-0836

Other identifiers 2

IdentifierTypeStateIssuer
12072723OtherASHA
4028OtherSCSOUTH CAROLINA LLR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jean_morgan@charleston.k12.sc.us

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
4028SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1053921908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 EQUESTRIAN DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643615",
            "telephone_number": "843-412-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CALHOUN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294013538",
            "telephone_number": "843-937-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JEAN",
        "middle_name": "T",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12072723",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA LLR",
            "identifier": "4028",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jean_morgan@charleston.k12.sc.us",
            "affiliation": "N",
            "endpointDescription": "CCSD Email",
            "address_1": "75 Calhoun St",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294013538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.