Individual provider Active NPI

Jordanna Nichole Herrell, LPC

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1215602842
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7389 Issued in SC
Practice address
4450 Broad River Rd
Columbia, SC 29210-4012
Phone
(803) 896-1314
NPI assigned
Aug 16, 2021
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7389 SC Primary

Addresses

Primary practice location

4450 Broad River Rd
Columbia, SC 29210-4012

Mailing address

111 Brickworks Dr Apt 1302
Cayce, SC 29033-4433
Phone (803) 997-1438

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address herrell.jordanna@doc.sc.gov South Carolina Department of Corrections

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

LicenseStateTypeSpecialty
7389SCMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: herrell.jordanna@doc.sc.gov

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1215602842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BRICKWORKS DR APT 1302",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290334433",
            "telephone_number": "803-997-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 BROAD RIVER RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104012",
            "telephone_number": "803-896-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRELL",
        "first_name": "JORDANNA",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "herrell.jordanna@doc.sc.gov",
            "affiliation": "Y",
            "affiliationName": "South Carolina Department of Corrections",
            "address_1": "4450 Broad River Rd",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292104012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.