Active NPI
Jonathan F Nelson, MS
- Professional Counselor
- North Charleston, SC
National Provider Identifier
1386487486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 2155 N Park LN Ste 212
North Charleston, SC 29406-9261 - Phone
- (843) 410-8034
- NPI assigned
- Jun 17, 2024
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
2155 N Park LN Ste 212
North Charleston, SC 29406-9261
Mailing address
6001 Coral Berry Rd
Hanahan, SC 29410-8298
Phone (765) 609-1063
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1386487486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 CORAL BERRY RD",
"city": "HANAHAN",
"state": "SC",
"postal_code": "294108298",
"telephone_number": "765-609-1063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2155 N PARK LN STE 212",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069261",
"telephone_number": "843-410-8034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JONATHAN",
"middle_name": "F",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.