Jessica Winn, MA, LPCA, ADC-IP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7183 Issued in SC

Practice address

8523 Kennestone LN
North Charleston, SC 29420-6841

Phone

(843) 607-6627

NPI assigned

Mar 23, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1215513726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8523 KENNESTONE LN",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294206841",
            "telephone_number": "843-607-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8523 KENNESTONE LN",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294206841",
            "telephone_number": "843-607-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN",
        "first_name": "JESSICA",
        "credential": "MA, LPCA, ADC-IP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@hopeawaits.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8523 Kennestone Ln",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294206841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Aziza Rahaman Win
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• Marshall Scott Wingo, M.D.
• Tristi Winscott, B.S.N, R.N.
• Corinthian Delon Winton
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• Danielle Latrice Wise, PHARMD
• Melanie K Wise, LPN

• Mental Health Counselor in North Charleston, SC
• Providers in North Charleston, 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 Mar 23, 2021; 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.