NPIMap

Organization Active NPI

Wildflower Center for Counseling

  • Counselor
  • Mount Pleasant, SC
National Provider Identifier
1780229146
Registry record updated Aug 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
WILDFLOWER CENTER FOR COUNSELING
Practice address
774 S Shelmore Blvd Ste 108
Mount Pleasant, SC 29464-7625
Phone
(843) 936-2566
Fax
(843) 800-0073
NPI assigned
Nov 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2021

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

Authorized official

Name
Ms. Jennifer Higley, LPC
Title
Owner / Mental Health Therapist
Phone
(843) 936-2566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

774 S Shelmore Blvd Ste 108
Mount Pleasant, SC 29464-7625

Mailing address

774 S Shelmore Blvd Ste 108
Mount Pleasant, SC 29464-7625
Phone (843) 936-2566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220620000090 SC Part B Supplier - Clinic/Group Practice 1254710486 Receives reassigned benefits from 9 practitioners
Practice locations: Mount Pleasant, SC

National Provider Directory

National Provider Directory

Locations

222 W Coleman Blvd
Ste 206
Mount Pleasant, SC 29464

268 W Coleman Blvd
Ste A
Mt Pleasant, SC 29464
Phone (843) 425-1866

774 S Shelmore Blvd
Ste 108
Mt Pleasant, SC 29464
Phone (843) 936-2566

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629590400000",
    "number": "1780229146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 S SHELMORE BLVD STE 108",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647625",
            "telephone_number": "843-936-2566",
            "fax_number": "843-800-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 S SHELMORE BLVD STE 108",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647625",
            "telephone_number": "843-936-2566",
            "fax_number": "843-800-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER CENTER FOR COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A",
        "authorized_official_last_name": "HIGLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER / MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "843-936-2566",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.