Willow Oak Counseling and Behavioral Services, LLC.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILLOW OAK COUNSELING AND BEHAVIORAL SERVICES, LLC.

Practice address

14323 Ocean Hwy Unit 4103
Pawleys Island, SC 29585-4817

Phone

(843) 779-2264

Fax

(866) 580-4842

NPI assigned

Oct 1, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Elizabeth Roman, LPCNPI 1164963054

Title

Owner/Licensed Professional Counsel

Phone

(843) 779-2264

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Elizabeth Roman, LPC

  • Professional Counselor
  • Pawleys Island, SC
  • NPI 1164963054
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1235614751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14323 OCEAN HWY UNIT 4103",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295854817",
            "telephone_number": "843-314-0416",
            "fax_number": "866-580-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14323 OCEAN HWY UNIT 4103",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295854817",
            "telephone_number": "843-779-2264",
            "fax_number": "866-580-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW OAK COUNSELING AND BEHAVIORAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/LICENSED PROFESSIONAL COUNSEL",
        "authorized_official_telephone_number": "843-779-2264",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W80629SC1",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheryn Waterman, PH.D.
• Katelyn Weyand, PHARMD
• April Nicole Wheeler, COTA/L
• Emma Wheeler, SSP, NCSP, LPES
• Donald Robert Williams, DR OF CHIROPRACTIC
• Ryan Wilson
• Abby J Wingard, SLP
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• Professional Counselor in Pawleys Island, SC
• Providers in Pawleys Island, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.