Organization Active NPI

Seagrass Psychoeducational Solutions LLC

  • Clinical Psychologist
  • Bluffton, SC
National Provider Identifier
1851941314
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SEAGRASS PSYCHOEDUCATIONAL SOLUTIONS LLC
Practice address
25 Clark Summit Dr Ste 103
Bluffton, SC 29910-4200
Phone
(843) 473-8213
Fax
(843) 582-0261
NPI assigned
Sep 17, 2019
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Dr. Kristin Anderson, PSY.D.NPI 1790839942
Title
Licensed Psychologist
Phone
(843) 473-8213

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

25 Clark Summit Dr Ste 103
Bluffton, SC 29910-4200

Mailing address

25 Clark Summit Dr Ste 103
Bluffton, SC 29910-4200
Phone (843) 473-8213

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260615000847 SC Part B Supplier - Clinic/Group Practice 3779055413 Receives reassigned benefits from 1 practitioner
Practice locations: Bluffton, SC

National Provider Directory

National Provider Directory

Locations

10 Pinckney Colony Rd
Ste 312
Bluffton, SC 29909

25 Clark Summit Dr
Ste 103
Bluffton, SC 29910
Phone (843) 473-8213

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1851941314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CLARK SUMMIT DR STE 103",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104200",
            "telephone_number": "843-473-8213",
            "fax_number": "843-582-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CLARK SUMMIT DR STE 103",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104200",
            "telephone_number": "843-473-8213",
            "fax_number": "843-582-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAGRASS PSYCHOEDUCATIONAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "843-473-8213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.