Jessie Driggers

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

200 Claude Bundrick Rd
Kiva Lodge
Blythewood, SC 29016-9420

Phone

(803) 754-5478

Fax

(803) 754-9644

NPI assigned

Dec 11, 2007

Last updated

Dec 11, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1184807364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166B CLAUDE BUNDRICK RD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290169419",
            "telephone_number": "803-786-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLAUDE BUNDRICK RD",
            "address_2": "KIVA LODGE",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290169420",
            "telephone_number": "803-754-5478",
            "fax_number": "803-754-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIGGERS",
        "first_name": "JESSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorn Medical Group, P.a. (Blythewood Urgent Care)
• Dr. Erin Schuyler, LLC
• Dr. Sara Beaver, LLC (Blythewood Eye Care)
• Drayer Physical Therapy - South Carolina, LLC
• Shepherd Lee Drayton III, MD
• Lakeisha Dunson
• Charisse Dupree-Henegan, REGISTER NURSE
• Ellison Sloan Eargle, PTA
• Carlton Edwards III, PHARMD
• Shontrelle Edwards

• Mental Health Counselor in Blythewood, SC
• Providers in Blythewood, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.