Active NPI
Jennifer Marie Poindexter, LPC-I
- Counselor
- Conway, SC
National Provider Identifier
1699046904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5797
- Practice address
- 607 Main St
Conway, SC 29526-4339 - Phone
- (843) 685-1831
- NPI assigned
- Jan 18, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2012001157 | MO | |
| Counselor | 101Y00000X | 5797 | SC | Primary |
Addresses
Primary practice location
607 Main St
Conway, SC 29526-4339
Mailing address
607 Main St
Conway, SC 29526-4339
Phone (846) 349-2305
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012001157 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425427200000",
"number": "1699046904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 MAIN ST",
"city": "CONWAY",
"state": "SC",
"postal_code": "295264339",
"telephone_number": "846-349-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 MAIN ST",
"city": "CONWAY",
"state": "SC",
"postal_code": "295264339",
"telephone_number": "843-685-1831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POINDEXTER",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "LPC-I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-18",
"last_updated": "2015-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2012001157",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "5797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.