Active NPI
John Kibet Kirui
- Psychiatric/Mental Health Nurse Practitioner
- Seneca, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 30234
- Practice address
- 201 Central Park LN Ste a
Seneca, SC 29678-1156 - Phone
- (864) 844-9432
- Fax
- (864) 844-9430
- NPI assigned
- Jun 27, 2025
- Last updated
- Jun 27, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 12749 | MN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 30234 | SC | Primary |
Addresses
Primary practice location
201 Central Park LN Ste a
Seneca, SC 29678-1156
Mailing address
430 Kingston Trace Rd
Columbia, SC 29229-7691
Phone (218) 576-9867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14551 Judicial Rd
Burnsville, MN 55306-4841
Phone (952) 431-5330
201 Central Park LN
Seneca, SC 29678-1156
Phone (864) 844-9432
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12749 | MN | MD | Physical Therapist |
| 30234 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taral Sharma MD PC | Current | Accepting new patients | |
| Danielle Golden, Crna, PA | Current | Accepting new patients | |
| Essential Psychiatry and Wellness | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
14551 Judicial Rd
Burnsville, MN 55306
Phone 9528985020 ext. 129
14551 Judicial Rd
Ste 300
Burnsville, MN 55306
3555 Willow Lake Blvd
Ste 290
Vadnais Heights, MN 55110
3640 Talmage Cir
Ste 216
Vadnais Hts, MN 55110
Phone (651) 379-4006
10 Financial Blvd
Anderson, SC 29621
Phone (855) 663-7772
120 Pelham Ln
Anderson, SC 29621
Phone (864) 627-5337
201 Central Park Ln
Seneca, SC 29678
Phone (844) 864-9432
201 Central Park Ln
Ste A
Seneca, SC 29678
Phone (864) 844-9432
203 Central Park Ln
Seneca, SC 29678
Phone (864) 844-9432
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, SC
- NPI 1831047356
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Anderson, SC
- NPI 1477112597
-
dba The Remedy
- Adult Mental Health Clinic/Center
- Vadnais Heights, MN
- NPI 1598954687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1144118084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 KINGSTON TRACE RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297691",
"telephone_number": "218-576-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CENTRAL PARK LN STE A",
"city": "SENECA",
"state": "SC",
"postal_code": "296781156",
"telephone_number": "864-844-9432",
"fax_number": "864-844-9430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRUI",
"first_name": "JOHN",
"middle_name": "KIBET",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-27",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "12749",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "30234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.