Organization Active NPI

Poindexter Counseling LLC

  • Professional Counselor
  • Conway, SC
National Provider Identifier
1720515638
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6234 Issued in SC
Legal business name
POINDEXTER COUNSELING LLC
Practice address
800 Legion St Ste 200B
Conway, SC 29526-4825
Phone
(843) 685-1891
NPI assigned
May 23, 2017
Last updated
May 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Authorized official

Name
Jennifer Poindexter, LPC
Title
Owner
Phone
(843) 685-1891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6234 SC Primary

Addresses

Primary practice location

800 Legion St Ste 200B
Conway, SC 29526-4825

Mailing address

800 Legion St Ste 200B
Conway, SC 29526-4825

Other identifiers 1

IdentifierTypeStateIssuer
PC1630MedicaidSC

National Provider Directory

National Provider Directory

Locations

800 Legion St
Ste 200B
Conway, SC 29526
Phone (843) 685-1891

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1720515638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LEGION ST STE 200B",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LEGION ST STE 200B",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264825",
            "telephone_number": "843-685-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINDEXTER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "POINDEXTER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-685-1891",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1630",
            "state": "SC"
        }
    ],
    "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 May 23, 2017; 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.