JILL M ANDERSON (NPI# 1487989745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487989745 |
Entity Type | Individual |
Full Name | JILL M ANDERSON |
Credential | MA, LPC |
Practice Address |
215 Ronnie Ct Ste D-1 Myrtle Beach SC 29579-4204 |
Mailing Address |
673 Cherry Blossom Dr Murrells Inlet SC 29576-9372 |
Practice Telephone | 7042230623 |
Practice Fax Number | 8434323091 |
Mailing Telephone | (704) 223-0623 |
Enumeration Date | 2009-10-05 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
6063 | SC | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
8077 | NC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | PC1812 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
164 Waccamaw Medical Park Dr, Conway, SC 295268903 | 7042230623 | |
673 Cherry Blossom Dr, Murrells Inlet, SC 295769372 | 7042230623 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255953105 | Jill Anderson | Counselor | 3216 Gillham Plz, Kansas City, MO 64109-1742 | 2020-05-14 |
1972029338 | Jill Marie Anderson | Social Worker | 5606 South 147th Street, Omaha, NE 68137 | 2017-08-17 |
1790024040 | Jill Suzanne Anderson | Marriage & Family Therapist | 1325 Highland Ave, Glendale, CA 91202-2046 | 2013-02-06 |
1013225655 | Jill Elizabeth Anderson | Specialist | 1110 7th Ct, Fox Island, WA 98333 | 2010-09-16 |
1184891046 | Jill Louetta Anderson | Occupational Therapist | 939 S State St, Westerville, OH 43081-3346 | 2008-05-09 |
1063696979 | Jill Anderson | Registered Nurse | 6140 W. Curtisian Avenue, Suite 200, Boise, ID 83704-0107 | 2007-12-27 |
1295925212 | Jill Anderson | Occupational Therapist | 404 Hempstead Ave, Rockville Centre, NY 11570-2043 | 2007-07-26 |
1407050321 | Jill Ellen Anderson | Respiratory Therapist, Registered | 8779 Indian Village Dr, Wellington, CO 80549-1792 | 2007-06-13 |
1942332663 | Jill M Anderson | Occupational Therapist | 27500 102nd Ave Nw Ste 1, Stanwood, WA 98292-8092 | 2007-03-09 |
1366422735 | Jill A Anderson | Optometrist | 1000 N Westhill Blvd, Optical, Appleton, WI 54914-5792 | 2006-01-20 |
Street Address |
215 RONNIE CT STE D-1 |
City | MYRTLE BEACH |
State | SC |
Zip Code | 29579-4204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
Find all providers in zip 29579 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407479009 | Paul Crolley | Counselor | 2860 Eton St, Myrtle Beach, SC 29579-6711 | 2020-05-19 |
1902426356 | Josephette Melinda Dotson | Counselor | 580 Oxbow Dr, Myrtle Beach, SC 29579-5153 | 2020-04-24 |
1750901831 | Scott D Calderwood | Counselor | 2058 Silvercrest Dr Unit B, Myrtle Beach, SC 29579-4237 | 2020-04-20 |
1619507241 | Anchor of Hope Counseling Services LLC | Counselor | 3826 Maypop Circle 417, 3826 Maypop Circle 417, Myrtle Beach, SC 29588-1410 | 2020-01-23 |
1548801475 | Jill Ashley Bedell | Counselor | 608 16th Ave N, Myrtle Beach, SC 29577-3537 | 2019-10-02 |
1235784661 | Myrtle Beach Counseling Center | Counselor | 608 16th Ave N Ste G, Myrtle Beach, SC 29577-3537 | 2019-08-02 |
1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
1093373797 | P & E Company | Counselor | 4108 Carolina Commercial Dr, Myrtle Beach, SC 29579-4223 | 2019-05-29 |
1588124176 | The Counseling Center of Sayebrook | Counselor | 106 Lansford Court Suite 202, Myrtle Beach, SC 29588 | 2019-03-21 |
1932629573 | Lenore Louise Bolig | Counselor | 10838 Kings Rd Ste 13, Myrtle Beach, SC 29572-6070 | 2017-06-25 |
Find all providers in MYRTLE BEACH |
City | MYRTLE BEACH |
Zip Code | 29579 |
Please comment or provide details below to improve the information on JILL M ANDERSON.
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.