Jennifer Reed Minichan, M.S., ED.S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1553 Issued in SC

Practice address

1000 Brookhaven Dr
Aiken, SC 29803-2109

Phone

(803) 641-2624

NPI assigned

Dec 9, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aiken County Public Schools

  • Bus
  • Aiken, SC
  • NPI 1376593798
  NPD (past)

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1063843613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 HERNDON DAIRY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298038877",
            "telephone_number": "803-641-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BROOKHAVEN DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298032109",
            "telephone_number": "803-641-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINICHAN",
        "first_name": "JENNIFER",
        "middle_name": "REED",
        "credential": "M.S., ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "1553",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "SC",
            "license": "162252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Edward Millwood III, MD
• Sheila I. Milot, M.D.
• John Drury Mims Jr.
• Tracie M. Mims, PHARM. D., R.PH.
• Mindful Mission & Associates
• Diane Minick
• David Brian Minter, MD
• Oletha Rosina Minto, MD
• Marina Aleksandrovna Mironova, MD
• Christy Mitchell, M.ED

• Professional Counselor in Aiken, SC
• Providers in Aiken, 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 Dec 9, 2013; 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.