Sandra Nelson LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SANDRA NELSON LLC

Practice address

782 Johnnie Dodds Blvd
Suite I
Mount Pleasant, SC 29464-3051

Phone

(843) 300-9105

NPI assigned

Jul 18, 2024

Last updated

Jul 18, 2024By 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

Sandra Nelson, LPCNPI 1003244716

Title

Owner

Phone

(843) 300-9105

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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.

• Sandra Nelson, LPC

  • Professional Counselor
  • Mount Pleasant, SC
  • NPI 1003244716
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1982442356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 HIGHWOOD CIR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294129004",
            "telephone_number": "843-300-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 JOHNNIE DODDS BLVD",
            "address_2": "SUITE I",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643051",
            "telephone_number": "843-300-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA NELSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-300-9105",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.