ERNEST E. KENNEDY CENTER
NPI 1750406476
Counselor - Professional in Moncks Corner, SC
NPI Status: Active since March 20, 2007
Contact Information
306 AIRPORT DR
MONCKS CORNER, SC
ZIP 29461
Phone: (843) 719-3000
Fax: (843) 719-3025
- Organization
- Counselor
- Professional
- CLIA Number: 42D2053636
- CLIA Cert. Type: Other - OUTPATIENT SUBSTANCE ABUS
- CLIA Exp. Date: 02-04-2027
About ERNEST E. KENNEDY CENTER
This page provides the complete NPI Profile along with additional information for Ernest E. Kennedy Center, a provider established in Moncks Corner, South Carolina operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1750406476 assigned on March 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 3396 (SC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Jerome Tilghman Jr. Lpc (Director Of Clinical Services)
- NPI
- 1750406476
- Provider Name
- ERNEST E. KENNEDY CENTER
- Entity Type
- Organization
- Location Address
- 306 AIRPORT DR MONCKS CORNER, SC 29461
- Location Phone
- (843) 719-3000
- Location Fax
- (843) 719-3025
- Mailing Address
- 306 AIRPORT DR MONCKS CORNER, SC 29461
- Mailing Phone
- (843) 719-3000
- Mailing Fax
- (843) 719-3025
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-20-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3396
- License State
- SC
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D2053636
- Facility Type
- Other - OUTPATIENT SUBSTANCE ABUS
- Certificate Effective Date
- February 05, 2025
- Certificate Expiration Date
- February 04, 2027
- Laboratory Director
- WEHME HUTTO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ernest E. Kennedy Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 4 | 0 | 6 | 4 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 0 | 12 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 0 + 1 + 2 + 4 + 1 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1750406476 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972574101 | THE ERNEST E. KENNEDY CENTER Organization | Clinic/Center (Rehabilitation, Substance Use Disorder) | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 719-3000 |
| 1770630675 | MRS. CANDACE SAWALL LPC Individual | Counselor | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 761-8272 |
| 1770632184 | MRS. ELAIN K HUNTINGTON LPC Individual | Counselor | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 761-8272 |
| 1659414704 | LAURA ELIZABETH BROWN CAC I Individual | Counselor | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 761-8272 |
| 1174732630 | MR. WILLIAM BRENT REECE LPC Individual | Counselor | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 719-3000 |
| 1528361284 | HEATHER I GRAHAM CACI Individual | Counselor | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 761-8272 |
| 1851728596 | MRS. MICHELLE S CRAWFORD MA, CACI Individual | Counselor (Addiction (Substance Use Disorder)) | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 761-8272 |
| 1730589706 | DEVONTA RANDOLPH-KING Individual | Counselor | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 719-3000 |
| 1609254002 | NIKEEMA HEYWARD Individual | Counselor | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 719-3017 |
| 1689041519 | LATONYA DAVIS Individual | Counselor | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 761-8272 |
| 1023473691 | DEIDRE HAYDEN LMSW Individual | Social Worker | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 719-3000 |
| 1881050409 | DEIA OLIVER-DIXON Individual | Counselor (Addiction (Substance Use Disorder)) | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 719-3000 |
| 1245773407 | MICHELLE DE SILVA Individual | Counselor (Addiction (Substance Use Disorder)) | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 761-8272 |
| 1023551728 | DANA BROOKE MANDEL MA, LPC-I, CACP Individual | Counselor (Addiction (Substance Use Disorder)) | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 719-3000 |
| 1386151744 | ASHLEY WHITE CACP Individual | Counselor (Addiction (Substance Use Disorder)) | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 761-8272 |
| 1275038531 | ERIC JERROD MORTON Individual | Counselor (Addiction (Substance Use Disorder)) | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 797-7871 |
| 1528550977 | JESSICA EVEREST MRC, CRC, CACP Individual | Counselor (Addiction (Substance Use Disorder)) | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 719-3003 |
| 1205257730 | ANACORITA ELLISOR FNP Individual | Nurse Practitioner (Family) | 306 AIRPORT DR MONCKS CORNER, SC 29461 (304) 429-1088 |
| 1902375603 | TINA RAMOS Individual | Counselor (Addiction (Substance Use Disorder)) | 306 AIRPORT DR MONCKS CORNER, SC 29461 (843) 761-8272 |
| 1235624222 | OHIO VALLEY PHYSICIANS, INC Organization | Family Medicine | 306 AIRPORT DR MONCKS CORNER, SC 29461 (304) 429-1088 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750406476, enumerated in the NPI registry as an "organization" on March 20, 2007
The provider is located at 306 Airport Dr Moncks Corner, Sc 29461 and the phone number is (843) 719-3000
This medical organization specializes in Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider's CLIA number is 42D2053636 for a "other - outpatient substance abus" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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