Active NPI
Emillie McKenzie Engram
- Professional Counselor
- Charleston, SC
National Provider Identifier
1194241620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7406
- Practice address
- 78 Folly Road Blvd
Charleston, SC 29407-7551 - Phone
- (843) 974-4686
- NPI assigned
- Aug 16, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC012884 | GA | |
| Professional Counselor | 101YP2500X | 7406 | SC | Primary |
Addresses
Primary practice location
78 Folly Road Blvd
Charleston, SC 29407-7551
Mailing address
78 Folly Road Blvd
Charleston, SC 29407-7551
Phone (843) 891-5724
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC012884 | GA | MD | Professional Counselor |
| 7406 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1194241620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 FOLLY ROAD BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077551",
"telephone_number": "843-891-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 FOLLY ROAD BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077551",
"telephone_number": "843-974-4686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGRAM",
"first_name": "EMILLIE",
"middle_name": "MCKENZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC012884",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "7406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.