Active NPI
Rediscover Wellness, LLC
- Professional Counselor
- Summerville, SC
National Provider Identifier
1538947890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- REDISCOVER WELLNESS, LLC
- Practice address
- 9695 Seminole Way
Summerville, SC 29485-8088 - Phone
- (502) 381-0041
- NPI assigned
- Sep 18, 2023
- Last updated
- Oct 9, 2023
- 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
- Jill M Minogue, LPC, LMHC
- Title
- Owner
- Phone
- (502) 381-0041
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 | NU | ||
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
9695 Seminole Way
Summerville, SC 29485-8088
Mailing address
9695 Seminole Way
Summerville, SC 29485-8088
Phone (502) 381-0041
Other practice location 1
307 77th Ave N Apt 11
Myrtle Beach, SC 29572-4235
Phone (502) 381-0041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696809600000",
"number": "1538947890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9695 SEMINOLE WAY",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858088",
"telephone_number": "502-381-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9695 SEMINOLE WAY",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858088",
"telephone_number": "502-381-0041"
}
],
"practiceLocations": [
{
"address_1": "307 77th Ave N Apt 11",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295724235",
"country_code": "US",
"telephone_number": "502-381-0041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REDISCOVER WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-18",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A",
"authorized_official_last_name": "MINOGUE",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-381-0041",
"authorized_official_credential": "LPC, LMHC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"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 Oct 9, 2023; 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.