MS. JACQUELYN L. BURGESS (NPI# 1003861535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003861535 |
| Entity Type | Individual |
| Full Name | MS. JACQUELYN L. BURGESS |
| Practice Address |
Swcmhc Lee Cmhc, 817 Brown St. Bishopville SC 29010 |
| Mailing Address |
Swcmhc, 215 N. Magnolia St. Sumter SC 29151-1946 |
| Practice Telephone | 8034849414 |
| Practice Fax Number | 8034844299 |
| Mailing Telephone | 8037759364 |
| Mailing Fax Number | 8037736615 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
SWCMHC LEE CMHC, 817 BROWN ST. |
| City | BISHOPVILLE |
| State | SC |
| Zip Code | 29010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407377906 | Infinite Hope Community Outreach | In Home Supportive Care | 2354 Sumpter Hwy, Bishopville, SC 29010 | 2017-07-05 |
| 1639596828 | Iris Hayes | Registered Nurse | 810 Brown St., Bishopville, SC 29010 | 2014-03-25 |
| 1104243856 | Jennifer Cherae Griggs | Registered Nurse | 810 Brown St, Bishopville, SC 29010 | 2014-03-19 |
| 1104018993 | Palmetto Vision Center PC | Optometrist | 730 West Church St, Bishopville, SC 29010 | 2007-08-15 |
| 1699851667 | State of South Carolina | Public Health or Welfare | 810 Brown Street, Bishopville, SC 29010 | 2006-10-31 |
| 1780765891 | Dorothy Mcallister | Counselor | 817 Brown St., Bishopville, SC 29010 | 2006-10-17 |
| 1740361955 | Celestine Boone | Nurse's Aide | 2244 Browntown Road, Bishopville, SC 29010 | 2006-10-17 |
| 1932153699 | Joseph L. Yaun IIi | Social Worker | 817 Brown St, Swcmhc/lee Cmhc, Bishopville, SC 29010 | 2006-05-19 |
| 1689626442 | Diana Godfrey | Counselor | Swcmhc/lee Cmhc, 817 Brown St., Bishopville, SC 29010 | 2006-05-17 |
| 1538111703 | Lee County Adult Day Center Inc | Clinic/Center | 2354 Sumter Hwy, Bishopville, SC 29010 | 2006-05-16 |
| Find all providers in zip 29010 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235189036 | Erica V. Adams-caldwell | Counselor | Swcmhc/emerald, 2262 Browntown Rd, Bishopville, SC 29010 | 2006-05-11 |
| 1932732930 | Casey Wilkes | Counselor | 108 E Church St, Bishopville, SC 29010-1726 | 2020-02-18 |
| 1780630509 | Eugene E. Perry | Counselor | Swcmhc/lee Cmhc, 817 Brown St., Bishopville, SC 29010 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245710 | John Edward Gough | Counselor | 2715 Colonial Dr Bldg 200a, Columbia, SC 29203-6818 | 2020-11-03 |
| 1467051953 | Deontay Adrain Winchester | Counselor | 500 S Kaminski St Ste 213, Georgetown, SC 29440-3435 | 2020-10-26 |
| 1750988804 | Teresa Q Harris | Counselor | 1024 Bradford Ridge Ln, Columbia, SC 29223-7143 | 2020-10-01 |
| 1902413214 | Kasey Knight Ennis | Counselor | 9260 Asbury Ln, Fort Mill, SC 29707-7527 | 2020-09-30 |
| 1467068585 | Tranquility Counseling | Counselor | 1101 Sweetwater Blvd, Murrells Inlet, SC 29576-8872 | 2020-09-23 |
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1447863196 | Brenda K Ishmael | Counselor | 232 Neeses Camp Rd, Neeses, SC 29107-9428 | 2020-08-24 |
| 1790303923 | Susan Kraus | Counselor | 1032 Algonquin Dr., 963-h, Pawleys Island, SC 29585 | 2020-07-14 |
| 1427675438 | Melissa Nickens Mcbride | Counselor | 2625 Fossil Ln, Sumter, SC 29153-9519 | 2020-06-25 |
| 1194341487 | Elizabeth Manigault | Counselor | 763 Meeting St Ste 200, Charleston, SC 29403-3146 | 2020-06-22 |
| Find all providers with the same taxonomy | ||||
| City | BISHOPVILLE |
| Zip Code | 29010 |
Please comment or provide details below to improve the information on MS. JACQUELYN L. BURGESS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.