Earnest E Kennedy Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

EARNEST E KENNEDY CENTER

Practice address

306 Airport Dr
Moncks Corner, SC 29461-2629

Phone

(843) 719-3000

NPI assigned

Aug 31, 2020

Organization subpart

No

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

Authorized official

Name

Jerome Tilghman, LPC, LAC, SAC

Title

Director

Phone

(843) 719-3001

Specialties & licenses 1

Addresses

Tax ID family

Earnest E Kennedy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ernest Kennedy Center

  • Addiction (Substance Use Disorder) Counselor
  • Goose Creek, SC
  • NPI 1982217246
  NPD tax ID

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1881207652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 WISTERIA RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453495",
            "telephone_number": "843-797-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 AIRPORT DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294612629",
            "telephone_number": "843-719-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Wisteria Rd",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294453495",
            "country_code": "US",
            "telephone_number": "843-797-7871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EARNEST E KENNEDY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "TILGHMAN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-719-3001",
        "authorized_official_credential": "LPC, LAC, SAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS. Kunkle and Powell, PA
• Alexis Dubose
• Matthew T. Dugan, LPC
• Jill Dunmire
• Randall Lee Eads, PT, DPT, OCS, CSCS
• Brigid Mary Eberenz, DPT
• Heather K Eby, HUMAN SERV COORD I
• Sandra Edwards-Jones
• Gracie Ann Elliott, PHARMD
• Anacorita Ellisor, FNP

• Addiction (Substance Use Disorder) Counselor in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.