Jina Hyde

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1218 East Blvd
Chesterfield, SC 29709-5148

Phone

(843) 623-7062

NPI assigned

Dec 10, 2021

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2021.

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1104585751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 EAST BLVD",
            "city": "CHESTERFIELD",
            "state": "SC",
            "postal_code": "297095148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 EAST BLVD",
            "city": "CHESTERFIELD",
            "state": "SC",
            "postal_code": "297095148",
            "telephone_number": "843-623-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "JINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantal Lashun Harrington, MSW
• Rebecca Harvey, RN CASE MANAGER
• Bonnie B Hicks, RN
• Andrea Jean Horn, MSW
• Hospice of Chesterfield County, Inc.
• Susanne Ingram
• Marsha Lynn Jackson
• Timothy Johnson Sr., BACHELOR OF PSYCHOLO
• Pamela L Jones-Monroe, B.A., M.A.
• Clayton W Kerns, NREMT

• All providers in Chesterfield, SC
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.