Individual provider Active NPI

Joann Victoria Blakeney-Nieholson

  • Professional Counselor
  • Pageland, SC
National Provider Identifier
1245068618
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8860 Issued in SC
Practice address
212 W. McGregor Street
Pageland, SC 29728
Phone
(803) 567-5144
Fax
(843) 695-7931
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 8860 SC Primary

Addresses

Primary practice location

212 W. McGregor Street
Pageland, SC 29728

Mailing address

212 W. McGregor Street
Pageland, SC 29728
Phone (803) 567-5144

Other names 1

  • Mrs. Joann Victoria Blakeney Former name

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
8860SCMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All Is Well Counseling & Consulting Services Professional CurrentSince Jul 28, 2024 Accepting new patients

Locations

212 W McGregor St
Pageland, SC 29728
Phone (803) 899-4973

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": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1245068618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W. MCGREGOR STREET",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "29728",
            "telephone_number": "803-567-5144",
            "fax_number": "843-695-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W. MCGREGOR STREET",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "29728",
            "telephone_number": "803-567-5144",
            "fax_number": "843-695-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKENEY-NIEHOLSON",
        "first_name": "JOANN",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANN",
            "last_name": "BLAKENEY",
            "middle_name": "VICTORIA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pageland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.