NPIMap

Organization Active NPI

Ministries for Synergetic Wellness, Inc.

  • Counselor
  • Beaufort, SC
National Provider Identifier
1790220382
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6335 Issued in SC
Legal business name
MINISTRIES FOR SYNERGETIC WELLNESS, INC.
Practice address
703 Bladen St
Beaufort, SC 29902-4915
Phone
(843) 770-9947
Fax
(843) 525-6116
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Ms. Renee Evadne Sutton, LPCNPI 1184978686
Title
President
Phone
(843) 770-9947

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 6335 SC Primary
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X 6335 SC
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Voluntary or Charitable Agency 251V00000X 6335 SC

Addresses

Primary practice location

703 Bladen St
Beaufort, SC 29902-4915

Mailing address

PO Box 4256
Beaufort, SC 29903-4256
Phone (843) 770-9947

National Provider Directory

National Provider Directory

Locations

703 Bladen St
Beaufort, SC 29902
Phone (843) 522-1115

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1790220382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4256",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299034256",
            "telephone_number": "843-770-9947",
            "fax_number": "843-525-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 BLADEN ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299024915",
            "telephone_number": "843-770-9947",
            "fax_number": "843-525-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINISTRIES FOR SYNERGETIC WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "EVADNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-770-9947",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "SC",
            "license": "6335",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "SC",
            "license": "6335",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "SC",
            "license": "6335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.