Individual provider Active NPI

Kerry R Wischusen, MA, LPCA

  • Mental Health Counselor
  • Mount Pleasant, SC
National Provider Identifier
1619734571
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11318 Issued in SC
Practice address
1671 Belle Isle Ave
Mount Pleasant, SC 29464-8336
Phone
(843) 242-0622
NPI assigned
Mar 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11318 SC Primary

Addresses

Primary practice location

1671 Belle Isle Ave
Mount Pleasant, SC 29464-8336

Mailing address

717 Bruceridge LN
Huger, SC 29450-9308
Phone (843) 242-0622

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8658SCMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetgrass Psychiatry LLC Mental Health CurrentSince Mar 12, 2024 Accepting new patients

Locations

710 Johnnie Dodds Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (843) 800-1303

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1619734571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 BRUCERIDGE LN",
            "city": "HUGER",
            "state": "SC",
            "postal_code": "294509308",
            "telephone_number": "843-242-0622",
            "fax_number": "843-825-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 BELLE ISLE AVE",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648336",
            "telephone_number": "843-242-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISCHUSEN",
        "first_name": "KERRY",
        "middle_name": "R",
        "credential": "MA, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "11318",
            "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 Jul 31, 2026; 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.