Exquisite Minds LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EXQUISITE MINDS LLC

Practice address

101 Rice Bent Way Ste 11
Columbia, SC 29229-6850

Phone

(803) 962-8621

NPI assigned

Aug 21, 2024

Last updated

Mar 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tiffany D Johnson, LPCNPI 1457015612

Title

Owner,Provider

Phone

(803) 962-5326

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

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.

• Tiffany Deanna Johnson, LPC

  • Professional Counselor
  • Columbia, SC
  • NPI 1457015612
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1861225450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 WEEKS ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291506740",
            "telephone_number": "803-962-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RICE BENT WAY STE 11",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292296850",
            "telephone_number": "803-962-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXQUISITE MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER,PROVIDER",
        "authorized_official_telephone_number": "803-962-5326",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.