Active NPI
Elizabeth Gillis Wann, LPC
- Counselor
- Mount Pleasant, SC
National Provider Identifier
1417734468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4996
- Practice address
- 574 Chimney Bluff Dr
Mount Pleasant, SC 29464-8113 - Phone
- (843) 224-6878
- NPI assigned
- Sep 13, 2023
- Last updated
- Sep 13, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4996 | SC | Primary |
Addresses
Primary practice location
574 Chimney Bluff Dr
Mount Pleasant, SC 29464-8113
Mailing address
574 Chimney Bluff Dr
Mount Pleasant, SC 29464-8113
Phone (843) 224-6878
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4996 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1417734468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "574 CHIMNEY BLUFF DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294648113",
"telephone_number": "843-224-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "574 CHIMNEY BLUFF DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294648113",
"telephone_number": "843-224-6878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANN",
"first_name": "ELIZABETH",
"middle_name": "GILLIS",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "4996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.