South Carolina Professional Counseling and Art Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SOUTH CAROLINA PROFESSIONAL COUNSELING AND ART THERAPY LLC

Practice address

2309 Devine St Ste B
Columbia, SC 29205-2423

Phone

(803) 759-8788

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Anne Mobley, LPCNPI 1952991622

Title

Owner/Therapist

Phone

(602) 930-7383

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jennifer Anne Mobley, LPC

  • Professional Counselor
  • Columbia, SC
  • NPI 1952991622
  NPD Authorized official

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1457079469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MAPLE ST APT A104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051747",
            "telephone_number": "602-930-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 DEVINE ST STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052423",
            "telephone_number": "803-759-8788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Maple St Apt A104",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292051747",
            "country_code": "US",
            "telephone_number": "602-930-7383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH CAROLINA PROFESSIONAL COUNSELING AND ART THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "602-930-7383",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.