Mendel Eustace Caldwell Jr., M.ED., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3471 Issued in SC

Practice address

1293 Orange Grove Rd
Charleston, SC 29407-3947

Phone

(843) 813-7165

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619193182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 ASHLEY RIVER RD",
            "address_2": "BOX 224",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074781",
            "telephone_number": "843-813-7165",
            "fax_number": "843-763-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 ORANGE GROVE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073947",
            "telephone_number": "843-813-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "MENDEL",
        "middle_name": "EUSTACE",
        "name_suffix": "Jr.",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "3471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarred Caldwell, PH.D.
• Jennifer G Caldwell, CRNA
• Katharine Emily Caldwell, MD
• Kenneth M Caldwell, MD
• Laura Caldwell, M.D.
• Stella Caldwell
• Casey Dean Calhoun, PH.D.
• John B Calhoun Jr., M.D.
• Shaun Michael Calhoun, PA-S
• Audrey Irene Calianos, RDN

• Professional Counselor in Charleston, SC
• Providers in Charleston, 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 Jul 8, 2007; 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.