Martin Sean Etheridge

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6059 Issued in SC

Practice address

212 W McGregor St
Pageland, SC 29728-2137

Phone

(843) 672-7096

NPI assigned

Dec 15, 2010

Last updated

Mar 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Elite Community Counseling

  dba MSE Health and Community Services

  • Community/Behavioral Health Agency
  • Pageland, SC
  • NPI 1245627769

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1962705863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W MCGREGOR ST",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "297282137",
            "telephone_number": "843-672-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W MCGREGOR ST",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "297282137",
            "telephone_number": "843-672-7096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 Springdale Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "SC",
            "postal_code": "293257266",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETHERIDGE",
        "first_name": "MARTIN",
        "middle_name": "SEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-15",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6059",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "6059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DS Transpo
• Joan Dubose, PHD, LPCS, LCMHCS
• Dva Renal Healthcare Inc (Pageland Dialysis)
• Kelly Taylor Eastergard, NP
• Elite Community Counseling (MSE Health and Community Services)
• Mary Katherine Harris, APRN, FNP-C
• Hart to Heart Healthcare LLC
• David Hart II
• Dayle Bentley Helms, RPH
• Homecare Services (ATL Home Healthcare Services)

• Community/Behavioral Health Agency in Pageland, SC
• Providers in Pageland, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.