Organization Active NPI

WJB Counseling Services, LLC

  • Clinical Social Worker
  • North Charleston, SC
National Provider Identifier
1255986071
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WJB COUNSELING SERVICES, LLC
Practice address
3945 Rivers Ave Ste D
North Charleston, SC 29405-7042
Phone
(843) 974-7410
Fax
(843) 302-8203
NPI assigned
Aug 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Justin Beaufort
Title
Owner
Phone
(843) 974-7410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3945 Rivers Ave Ste D
North Charleston, SC 29405-7042

Mailing address

3945 Rivers Ave Ste D
North Charleston, SC 29405-7042

National Provider Directory

National Provider Directory

Locations

3945 Rivers Ave
Ste D
North Charleston, SC 29405
Phone (843) 974-7410

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1255986071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 RIVERS AVE STE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 RIVERS AVE STE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057042",
            "telephone_number": "843-974-7410",
            "fax_number": "843-302-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WJB COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "BEAUFORT",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-974-7410"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.