Active NPI
Jasminn Foxworth
- Addiction (Substance Use Disorder) Counselor
- Mullins, SC
National Provider Identifier
1801524632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 424 Guyton CT
Mullins, SC 29574-6014 - Phone
- (843) 423-8292
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
424 Guyton CT
Mullins, SC 29574-6014
Mailing address
424 Guyton CT
Mullins, SC 29574-6014
Phone (843) 423-8292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251S00000X | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Marion | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1801524632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 GUYTON CT",
"city": "MULLINS",
"state": "SC",
"postal_code": "295746014",
"telephone_number": "843-423-8292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 GUYTON CT",
"city": "MULLINS",
"state": "SC",
"postal_code": "295746014",
"telephone_number": "843-423-8292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOXWORTH",
"first_name": "JASMINN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251S00000X",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Marion",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "424 Guyton Ct",
"city": "Mullins",
"state": "SC",
"country_code": "US",
"postal_code": "295746014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mullins, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.