Kaela Jackson Sporre

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

COU.11151PCI Issued in SC

Practice address

4505 Oakwood Dr
Columbia, SC 29206

Phone

(803) 977-0712

NPI assigned

Aug 26, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1932016896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 OAKWOOD DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29206",
            "telephone_number": "803-977-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 OAKWOOD DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29206",
            "telephone_number": "803-977-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORRE",
        "first_name": "KAELA",
        "middle_name": "JACKSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "COU.11151PCI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Carlisle Spitzer, DMD
• Bobby Jack Spivey Jr., RPH
• Spizzerinctum, Inc.
• Brenda J Splawn, APRN
• Julia Spong
• Sports Plus
• Eric Steven Spotts, M.D.
• Tammy McPherson Spotts, RN
• Destanie Elizabeth Rose Spradley
• Nathaniel Phelps Spreare, D.C.

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, 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 Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.