Organization Active NPI

Monarch Educational Enterprises, LLC

  • Community/Behavioral Health Agency
  • Goose Creek, SC
National Provider Identifier
1235653395
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MONARCH EDUCATIONAL ENTERPRISES, LLC
Practice address
107 Persimmon Cir
Goose Creek, SC 29445-5738
Phone
(843) 633-3895
NPI assigned
Jul 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Charissa M Owens, PH. D.
Title
Chief Executive Officer
Phone
(843) 633-3895

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6308 SC
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

107 Persimmon Cir
Goose Creek, SC 29445-5738

Mailing address

307 N Goose Creek Blvd Unit 1641
Goose Creek, SC 29445-8365
Phone (843) 633-3895

Other identifiers 1

IdentifierTypeStateIssuer
GP7853MedicaidSC

National Provider Directory

National Provider Directory

Locations

307 N Goose Creek Blvd
Unit 1641
Goose Creek, SC 29445

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1235653395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N GOOSE CREEK BLVD UNIT 1641",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294458365",
            "telephone_number": "843-633-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PERSIMMON CIR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455738",
            "telephone_number": "843-633-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH EDUCATIONAL ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "CHARISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "843-633-3895",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6308",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7853",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.