Individual provider Active NPI

Joette Randall Creager, M.A. LPC

  • Professional Counselor
  • Mt Pleasant, SC
National Provider Identifier
1699836809
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2834 Issued in SC
Practice address
890 Johnnie Dodds Blvd
BLDG. C
Mt Pleasant, SC 29464-3105
Phone
(843) 224-1558
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2834 SC Primary

Addresses

Primary practice location

890 Johnnie Dodds Blvd
BLDG. C
Mt Pleasant, SC 29464-3105

Mailing address

930 Lakeview Dr
Mt Pleasant, SC 29464-2906
Phone (843) 881-1558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116000932 SC Practitioner - Mental Health Counselor 0941657738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians
Sweetgrass Psychiatry LLCGroup PAC ID 4688932957, 25 clinicians

Practice addresses (Care Compare)

4464 Devine St
Suite M
Columbia, SC 29205-3605
Phone (415) 360-3348

710 Johnnie Dodds Blvd
Suite 200
Mount Pleasant, SC 29464-3045
Phone (843) 800-1303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2834SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Jul 1, 2025 Accepting new patients
Sweetgrass Psychiatry LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

4464 Devine St
Ste M
Columbia, SC 29205
Phone (803) 386-7146

710 Johnnie Dodds Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (843) 800-1303

Organizations & group practices 2

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699836809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 LAKEVIEW DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294642906",
            "telephone_number": "843-881-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 JOHNNIE DODDS BLVD",
            "address_2": "BLDG. C",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643105",
            "telephone_number": "843-224-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREAGER",
        "first_name": "JOETTE",
        "middle_name": "RANDALL",
        "name_prefix": "Mrs.",
        "credential": "M.A. LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "2834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

Verify at the official NPI Registry.