Organization Active NPI

Soaring Minds Evaluations and Support

  • School Psychologist
  • Summerville, SC
National Provider Identifier
1619845633
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
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

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Jacquilyn Gaither, ED.S, LPESNPI 1518827179
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)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 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.

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.

Verify at the official NPI Registry.