Individual provider Active NPI

Don Edword Elsey, EDD LPC

  • Counselor
  • Charleston, SC
National Provider Identifier
1366567786
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1770CPC Issued in SC
Practice address
1061 King Street
Dee North Low Country Childrens Center
Charleston, SC 29403-3708
Phone
(843) 723-3600
Fax
(843) 720-7106
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1770CPC SC Primary
Counselor 101Y00000X 4557 CPC SUPERVISOR SC

Addresses

Primary practice location

1061 King Street
Dee North Low Country Childrens Center
Charleston, SC 29403-3708

Mailing address

1061 King Street
Dee North Low Country Childrens Center
Charleston, SC 29403-3708
Phone (843) 723-3600

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

State licenses

LicenseStateTypeSpecialty
1770CPCSCMDCounselor
4557 CPC SUPERVISORSCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dee Norton Low Country Childrens Center Counselor Past Accepting new patients
University Medical Associates Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366567786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 KING STREET",
            "address_2": "DEE NORTH LOW COUNTRY CHILDRENS CENTER",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294033708",
            "telephone_number": "843-723-3600",
            "fax_number": "843-720-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 KING STREET",
            "address_2": "DEE NORTH LOW COUNTRY CHILDRENS CENTER",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294033708",
            "telephone_number": "843-723-3600",
            "fax_number": "843-720-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSEY",
        "first_name": "DON",
        "middle_name": "EDWORD",
        "name_prefix": "Dr.",
        "credential": "EDD LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "1770CPC",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "4557 CPC SUPERVISOR",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.