Active NPI
Jessie Brzezinski, MA, LPC
- Professional Counselor
- Mt Pleasant, SC
National Provider Identifier
1346571007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4705
- Practice address
- 222 W Coleman Blvd
Suite 213
Mt Pleasant, SC 29464-3588 - Phone
- (843) 693-2002
- NPI assigned
- Jan 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4705 | SC | Primary |
Addresses
Primary practice location
222 W Coleman Blvd
Suite 213
Mt Pleasant, SC 29464-3588
Mailing address
222 W Coleman Blvd
Suite 213
Mt Pleasant, SC 29464-3588
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4705 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1346571007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 W COLEMAN BLVD",
"address_2": "SUITE 213",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 W COLEMAN BLVD",
"address_2": "SUITE 213",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643588",
"telephone_number": "843-693-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRZEZINSKI",
"first_name": "JESSIE",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-20",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "4705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.