Organization Active NPI

Covered by Chukwu

  • Pastoral Counselor
  • Mullins, SC
National Provider Identifier
1295618106
Registry record updated Aug 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Legal business name
COVERED BY CHUKWU
Practice address
3535 Starling Rd
Mullins, SC 29574-7330
Phone
(843) 591-4546
NPI assigned
Jul 28, 2025
Last updated
Aug 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2025

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

Authorized official

Name
Sharai Rose Montgomery
Title
Outreach and Equity Director
Phone
(843) 591-4546

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X NU Primary
Case Management Agency 251B00000X NU
Religious Nonmedical Nursing Personnel 374T00000X NU
Religious Nonmedical Health Care Institution 282J00000X NU
Religious Nonmedical Practitioner 374K00000X NU

Addresses

Primary practice location

3535 Starling Rd
Mullins, SC 29574-7330

Mailing address

3535 Starling Rd
Mullins, SC 29574-7330
Phone (843) 591-4546

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755388800000",
    "number": "1295618106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 STARLING RD",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295747330",
            "telephone_number": "843-591-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 STARLING RD",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295747330",
            "telephone_number": "843-591-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVERED BY CHUKWU",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-08-17",
        "certification_date": "2025-08-17",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "SHARAI",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OUTREACH AND EQUITY DIRECTOR",
        "authorized_official_telephone_number": "843-591-4546"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374T00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Nursing Personnel",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.