NPIMap

Organization Active NPI

The Ernest E Kennedy Center

  • Community/Behavioral Health Agency
  • Goose Creek, SC
National Provider Identifier
1639493828
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE ERNEST E KENNEDY CENTER
Practice address
96 Wisteria Rd
Goose Creek, SC 29445-3495
Phone
(843) 797-7871
NPI assigned
Mar 17, 2010
Last updated
Mar 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Ms. Porcher Washington, M.A. CACII
Title
Clinical Counselor
Phone
(843) 797-7871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SC Primary

Addresses

Primary practice location

96 Wisteria Rd
Goose Creek, SC 29445-3495

Mailing address

96 Wisteria Rd
Goose Creek, SC 29445-3495
Phone (843) 797-7871

National Provider Directory

National Provider Directory
Tax ID family
The Ernest E Kennedy Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1639493828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 WISTERIA RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453495",
            "telephone_number": "843-797-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 WISTERIA RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453495",
            "telephone_number": "843-797-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ERNEST E KENNEDY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "PORCHER",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "843-797-7871",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A. CACII"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.