Active NPI
Kerry R Wischusen, MA, LPCA
- Mental Health Counselor
- Mount Pleasant, SC
National Provider Identifier
1619734571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11318
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8658 | SC | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweetgrass Psychiatry LLC | Mental Health | Current | 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.