Jump Start Bridging Gaps LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JUMP START BRIDGING GAPS LLC

Practice address

512 Columbia St
Chester, SC 29706

Phone

(803) 385-7169

NPI assigned

Apr 20, 2020

Organization subpart

No

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

Authorized official

Name

Donnie Worthy

Title

Ceo

Phone

(803) 385-7169

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1831719889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 RICKS RD",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297066402",
            "telephone_number": "803-385-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 COLUMBIA ST",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "29706",
            "telephone_number": "803-385-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMP START BRIDGING GAPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "WORTHY",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-385-7169"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "Chester",
            "affiliation": "N",
            "address_1": "512 Columbia St",
            "city": "Chester",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Chester, SC
• Providers in Chester, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.