Elite Community Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELITE COMMUNITY COUNSELING

Doing business as

MSE Health and Community Services

Practice address

212 W McGregor St
Pageland, SC 29728-2137

Phone

(843) 672-7096

NPI assigned

Apr 22, 2015

Last updated

Mar 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Martin Sean Etheridge, LICENSE PROFESSIONALNPI 1962705863

Title

Executive Director

Phone

(843) 672-7096

Specialties & licenses 3

Addresses

Other names 1

• MSE Health and Community Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martin Sean Etheridge

  • Community/Behavioral Health Agency
  • Pageland, SC
  • NPI 1962705863

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742601600000",
    "number": "1245627769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 SEDGEWICK DR APT 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088170",
            "telephone_number": "404-655-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W MCGREGOR ST",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "297282137",
            "telephone_number": "843-672-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE COMMUNITY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A",
        "authorized_official_last_name": "ETHERIDGE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-672-7096",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENSE PROFESSIONAL"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6059",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSE Health and Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzette Dennis Dillard, NP
• DS Transpo
• Joan Dubose, PHD, LPCS, LCMHCS
• Dva Renal Healthcare Inc (Pageland Dialysis)
• Kelly Taylor Eastergard, NP
• Martin Sean Etheridge
• Mary Katherine Harris, APRN, FNP-C
• Hart to Heart Healthcare LLC
• David Hart II
• Dayle Bentley Helms, RPH

• Community/Behavioral Health Agency in Pageland, SC
• Providers in Pageland, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; 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.