Active NPI
Sweetgrass Counseling LLC
- Mental Health Counselor
- Summerville, SC
National Provider Identifier
1407326135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SWEETGRASS COUNSELING LLC
- Practice address
- 302A Midland Pkwy
Summerville, SC 29485-8102 - Phone
- (843) 259-6535
- NPI assigned
- Nov 26, 2018
- Last updated
- Nov 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy F Jackson, LPC
- Title
- Owner
- Phone
- (843) 259-6535
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
302A Midland Pkwy
Summerville, SC 29485-8102
Mailing address
3590 Mary Ader Ave Apt 1021
Charleston, SC 29414-5792
Phone (910) 712-0026
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Counselor
- Charleston, SC
- NPI 1780117804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543190400000",
"number": "1407326135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3590 MARY ADER AVE APT 1021",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145792",
"telephone_number": "910-712-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302A MIDLAND PKWY",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858102",
"telephone_number": "843-259-6535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEETGRASS COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-26",
"last_updated": "2018-11-26",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-259-6535",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.