Island Transitions Counseling and Consulting, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ISLAND TRANSITIONS COUNSELING AND CONSULTING, LLC.

Practice address

3226 Maybank Hwy Unit a
Johns Island, SC 29455-4858

Phone

(618) 559-1124

NPI assigned

Jul 12, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Kathryn Elaine Roosevelt, LISW-CPNPI 1467894055

Title

Owner/Clinician

Phone

(618) 559-1124

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Elaine Roosevelt, LCSW

  • Clinical Social Worker
  • Groton, CT
  • NPI 1467894055

  SC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1396317145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 MAYBANK HWY UNIT A",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554858",
            "telephone_number": "618-559-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 MAYBANK HWY UNIT A",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554858",
            "telephone_number": "618-559-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND TRANSITIONS COUNSELING AND CONSULTING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "ROOSEVELT",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "618-559-1124",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hunnicutt, A.T.C.
• John Stewart Hyatt, LMFT
• Inner Thread Therapy
• Island Oaks Living Center, LLC
• Island Pediatric Therapy, LLC
• Julia Killingsworth Isom, D.O.
• Haley Marie Jamrog, M.S, BCBA
• Johns Island Chiropractic LLC
• Johns Island Pharmacy LLC
• Johns Island Post Acute, LLC

• Clinical Social Worker in Johns Island, SC
• Providers in Johns Island, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.