Vonnie L Jessup

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4806 Issued in SC

Practice address

105 Central Ave Unit 11
Goose Creek, SC 29445-3269

Phone

(843) 452-2955

Fax

(843) 640-3568

NPI assigned

May 30, 2006

Last updated

Feb 8, 2023By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Carolina Dept of Mental Health Accounting Office

  dba Midlands Crisis Stabilization Center

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1932156288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 DARCY AVE",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294456693",
            "telephone_number": "843-452-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVE UNIT 11",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453269",
            "telephone_number": "843-452-2955",
            "fax_number": "843-640-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSUP",
        "first_name": "VONNIE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "4806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Jacobs, BCBA
• Eleanor Renee Jenkins-Alford, M.D.
• Alepha L Jenkins, COTA
• Sonya R Jenkins, LMSW
• Shelby Jennings
• Charlotte Berry Johnson, PHARMD
• Eric Johnson, MD
• Jessica Michelle Johnson, PA-C
• Tiffany Rochelle Johnson, RN CASE MANAGER
• Kim Johnston

• Mental Health Counselor in Goose Creek, SC
• Providers in Goose Creek, 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 Feb 8, 2023; 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.