Active NPI
Iva Jill Banks, PH.D.
- Psychologist
- Hartsville, SC
National Provider Identifier
1144279746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 524
- Practice address
- 300 E College Ave
Hartsville, SC 29550-3742 - Phone
- (843) 383-8099
- NPI assigned
- May 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 524 | SC | Primary |
Addresses
Primary practice location
300 E College Ave
Hartsville, SC 29550-3742
Mailing address
412 W College Ave
Hartsville, SC 29550-4120
Phone (843) 383-4746
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254 | Other | SC | LICENSED COUNSELING PSYCH |
| 1080 | Other | SC | PROFESSIONAL COUNSELOR SU |
| PS0119 | Medicaid | SC |
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1144279746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 W COLLEGE AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504120",
"telephone_number": "843-383-4746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E COLLEGE AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295503742",
"telephone_number": "843-383-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "IVA",
"middle_name": "JILL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SC",
"license": "524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED COUNSELING PSYCH",
"identifier": "254",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL COUNSELOR SU",
"identifier": "1080",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PS0119",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.