MRS. JESSICA ELIZABETH ROMAN (NPI# 1164963054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164963054 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA ELIZABETH ROMAN |
| Credential | LPC |
| Practice Address |
14323 Ocean Hwy Unit 4103 Pawleys Island SC 29585-4817 |
| Mailing Address |
235 Linden Cir Pawleys Island SC 29585-8046 |
| Practice Telephone | 8437792264 |
| Practice Fax Number | 8665804842 |
| Mailing Telephone | 8437792264 |
| Mailing Fax Number | 8436282433 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6893 | SC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 402 Nelson Blvd Ste 100, Kingstree, SC 295564058 | 8437792264 | 8665804842 |
| 107 Queen St, Suite A, Georgetown, SC 294403670 | 8438338545 | 8436282433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639454150 | Jessica Del Carmen Roman | Dietitian, Registered | 176 Calle Zarzuela, Urb. Palacios Reales, Toa Alta, PR 00953-4916 | 2011-10-16 |
| 1366893190 | Jessica Vianney Roman | Counselor | 725 E Main St, Santa Paula, CA 93060-2748 | 2016-06-22 |
| 1306216437 | Jessica Roman | Dietitian, Registered | 1136 W 17th St, Ste. B, Bloomington, IN 47404-3002 | 2015-10-01 |
| 1750775565 | Jessica Roman | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2015-03-19 |
| 1255675666 | Jessica Christina Roman | Registered Nurse | 1069 Kane Concourse, Bay Harbor Islands, FL 33154-2105 | 2012-11-26 |
| 1699942136 | Jessica Ann Roman | Anesthesiology | 110 Irving St Nw, Room G226, Washington, DC 20010-3017 | 2008-05-14 |
| Street Address |
14323 OCEAN HWY UNIT 4103 |
| City | PAWLEYS ISLAND |
| State | SC |
| Zip Code | 29585-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598903445 | James Todd Mcgahey | Counselor | 14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585-4817 | 2009-01-30 |
| 1235614751 | Willow Oak Counseling and Behavioral Services, LLC. | Counselor | 14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585-4817 | 2018-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303923 | Susan Kraus | Counselor | 1032 Algonquin Dr., 963-h, Pawleys Island, SC 29585 | 2020-07-14 |
| 1831737436 | Mary Ruth Blair | Counselor | 10689 Ocean Highway, Pawleys Island, SC 29585 | 2019-12-13 |
| 1518437110 | David Patrick Hanley | Home Health | 10698 Ocean Highway, Suite 100, Pawleys Island, SC 29585 | 2018-11-27 |
| 1154860369 | Danielle Olivia Woodley | Nurse Practitioner | 201 Business Center Dr., Pawleys Island, SC 29585 | 2017-02-21 |
| 1992241145 | Nichole Marie Evans | Nurse Practitioner | 10317 Ocean Highway 17 South, Pawleys Island, SC 29585 | 2017-01-11 |
| 1922559152 | Camri K Monaghan | Occupational Therapist | 120 Lakes of Litchfield Dr., Pawleys Island, SC 29585 | 2016-10-24 |
| 1245785666 | Hannah Rebecca Willis Rustin | Dentist | 34 Business Center Dr, Pawleys Island, SC 29585 | 2016-08-16 |
| 1750700894 | Veronica Seitzinger | Social Worker | 49 Pond View Dr, Pawleys Island, SC 29585 | 2014-04-15 |
| 1578813341 | Anne Marie Floyd | Physical Therapist | 120 Lakes At Litchfield Drive, Pawley's Island, SC 29585 | 2012-09-19 |
| 1356612170 | Jean C. Cross | Social Worker | Alston Rd, Pawleys Island, SC 29585 | 2012-01-25 |
| Find all providers in zip 29585 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831737436 | Mary Ruth Blair | Counselor | 10689 Ocean Highway, Pawleys Island, SC 29585 | 2019-12-13 |
| 1285289983 | Karen Lee Porterfield | Counselor | 137 Calvert Ct, Pawleys Island, SC 29585-6153 | 2019-08-08 |
| 1861932709 | Sheryn Waterman | Counselor | 153 Beaufain Ct, Pawleys Island, SC 29585-6168 | 2017-02-25 |
| 1326398553 | Candace B Foster | Counselor | 168 Channel Bluff Ave, Pawleys Island, SC 29585-5112 | 2012-09-14 |
| 1598903445 | James Todd Mcgahey | Counselor | 14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585-4817 | 2009-01-30 |
| 1689870883 | Amy M. Kinard, Lpc, LLC | Counselor | 201a Business Center Dr, Pawleys Island, SC 29585-6522 | 2007-06-25 |
| 1669432878 | Franklin E Clemons, Jr. | Counselor | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 2006-03-23 |
| 1679181150 | Angela K Jones Ma Lpc LLC | Counselor | 10023 Ocean Hwy, Pawleys Island, SC 29585-7806 | 2020-07-21 |
| 1235614751 | Willow Oak Counseling and Behavioral Services, LLC. | Counselor | 14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585-4817 | 2018-10-01 |
| 1053814871 | Dioselina Ruiz Godbold | Counselor | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 2018-03-18 |
| Find all providers in PAWLEYS ISLAND | ||||
| City | PAWLEYS ISLAND |
| Zip Code | 29585 |
Please comment or provide details below to improve the information on MRS. JESSICA ELIZABETH ROMAN.
| 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.