Jill Crossgrove, MA, LPC, LPCS, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

223 Quiet Pond Way
Blythewood, SC 29016-7225

Phone

(803) 200-9076

NPI assigned

Nov 5, 2015

Last updated

Mar 27, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Carolina Department of Mental Health Accounting Office

  dba Columbia Area Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, SC
  • NPI 1952329153
  NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Midlands Crisis Stabilization Center

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Highway to Hope Tri-County Primary Care

  • Primary Care Nurse Practitioner
  • Bennettsville, SC
  • NPI 1295332690
  NPD

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1346613726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 QUIET POND WAY",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167225",
            "telephone_number": "803-200-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 QUIET POND WAY",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167225",
            "telephone_number": "803-200-9076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2831 Clemson Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292297974",
            "country_code": "US",
            "telephone_number": "803-200-9076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSSGROVE",
        "first_name": "JILL",
        "credential": "MA, LPC, LPCS, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Country Comfort Homes, LLC (clifford a. counts)
• Joseph James Craft Jr., LMT, BCTMB
• Lakoya Gratic Craig
• Crocodile Pharmacy Services, LLC (CP-Blythewood)
• Carol Crosby, CCC-SLP
• Jaritza Denise Cruz
• Latanya Yvette Damon
• Daspott Transportation LLC
• Renia Davis Foster, DNP-AGNP-C
• Michelle Lynn Davis, APRN, FNP-C

• Counselor in Blythewood, SC
• Providers in Blythewood, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.