Active NPI
Juenarrl Keith
- Professional Counselor
- Orangeburg, SC
National Provider Identifier
1194898262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1961
- Practice address
- 566 Rowe St
Orangeburg, SC 29115-6720 - Phone
- (888) 992-5534
- NPI assigned
- Nov 16, 2006
- Last updated
- Jun 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1961 | SC | Primary |
Addresses
Primary practice location
566 Rowe St
Orangeburg, SC 29115-6720
Mailing address
566 Rowe St
Orangeburg, SC 29115-6720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1961 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1961 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Is Love Counseling Services, LLC | Professional | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Orangeburg, SC
- NPI 1043320146
-
- Professional Counselor
- Moncks Corner, SC
- NPI 1992319040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1194898262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 ROWE ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291156720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 ROWE ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291156720",
"telephone_number": "888-992-5534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "JUENARRL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "1961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1961",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.