Individual provider Active NPI

Jennifer Dwire, M.ED., LPC

  • Mental Health Counselor
  • Mount Pleasant, SC
National Provider Identifier
1205203429
Registry record updated Mar 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6391 Issued in SC
Practice address
774 S Shelmore Blvd Ste 108
Mount Pleasant, SC 29464-7625
Phone
(843) 936-2566
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6391 SC Primary

Addresses

Primary practice location

774 S Shelmore Blvd Ste 108
Mount Pleasant, SC 29464-7625

Mailing address

774 S Shelmore Blvd Ste 108
Mount Pleasant, SC 29464-7625
Phone (843) 936-2566

Other names 1

  • Jennifer Higley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424001164 SC Practitioner - Mental Health Counselor 5890174023 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
6931SCMDClinical Social Worker
6391SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wildflower Center for Counseling Single Specialty CurrentSince Jan 1, 2020 Accepting new patients

Locations

222 W Coleman Blvd
Ste 206
Mount Pleasant, SC 29464

774 S Shelmore Blvd
Ste 108
Mt Pleasant, SC 29464
Phone (843) 936-2566

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741478400000",
    "number": "1205203429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 S SHELMORE BLVD STE 108",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647625",
            "telephone_number": "843-936-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 S SHELMORE BLVD STE 108",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647625",
            "telephone_number": "843-936-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWIRE",
        "first_name": "JENNIFER",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2025-03-09",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HIGLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.