Jacqueline A Cohoon-Kight

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

403 Stony Landing Rd
Moncks Corner, SC 29461-3967

Phone

(843) 761-8282

Fax

(843) 761-7308

NPI assigned

Oct 6, 2014

Last updated

Jul 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1285037226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1030",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613967",
            "telephone_number": "843-761-8282",
            "fax_number": "843-761-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 STONY LANDING RD",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613967",
            "telephone_number": "843-761-8282",
            "fax_number": "843-761-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHOON-KIGHT",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.