Active NPI
Soaring Minds Evaluations and Support
- School Psychologist
- Summerville, SC
National Provider Identifier
1619845633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Legal business name
- SOARING MINDS EVALUATIONS AND SUPPORT
- Practice address
- 281 Pemberly Blvd
Summerville, SC 29486-7780 - Phone
- (843) 474-6560
- NPI assigned
- Oct 29, 2025
- 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
- Jacquilyn Gaither, ED.S, LPES
- Title
- Licensed Psycho-Ed Specialist
- Phone
- (843) 474-6560
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
281 Pemberly Blvd
Summerville, SC 29486-7780
Mailing address
281 Pemberly Blvd
Summerville, SC 29486-7780
Phone (412) 719-4839
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.
-
- School Psychologist
- Summerville, SC
- NPI 1518827179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761696000000",
"number": "1619845633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 PEMBERLY BLVD",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294867780",
"telephone_number": "412-719-4839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 PEMBERLY BLVD",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294867780",
"telephone_number": "843-474-6560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOARING MINDS EVALUATIONS AND SUPPORT",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-29",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A",
"authorized_official_last_name": "GAITHER",
"authorized_official_first_name": "JACQUILYN",
"authorized_official_title_or_position": "LICENSED PSYCHO-ED SPECIALIST",
"authorized_official_telephone_number": "843-474-6560",
"authorized_official_credential": "ED.S, LPES"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": null,
"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 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.