Organization Active NPI

Rediscover Wellness, LLC

  • Professional Counselor
  • Summerville, SC
National Provider Identifier
1538947890
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Jill M Minogue, LPC, LMHCNPI 1235350323
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20240205000600 SC Part B Supplier - Clinic/Group Practice 2062855331 Receives reassigned benefits from 1 practitioner
Practice locations: Conway, SC

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.