CRESCENT SHUBRADA JETER
NPI 1013710490
Counselor - Mental Health in Piedmont, SC

Q: What is Crescent Jeter's NPI number?

The NPI number for Crescent Jeter is 1013710490. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Q: What is Crescent Jeter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Crescent Jeter was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2025

102 COMMONS BLVD, PIEDMONT, SC 29673(864) 520-8152 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Crescent Shubrada Jeter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESCENT SHUBRADA JETER (NPI 1013710490) is an individual mental health provider in Piedmont, South Carolina, licensed in South Carolina (17691) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1013710490

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCRESCENT SHUBRADA JETER

Location Address102 COMMONS BLVDPiedmont, SC 29673-7766

Mailing Address304 Tulip Tree LnSimpsonville, SC 29680-7352 · (864) 787-9180

Phone(864) 520-8152

Sole ProprietorYes

Enumeration DateMarch 31, 2025

NPPES CertifiedMarch 31, 2025

✔ NPI 1013710490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in SC · 17691

102 COMMONS BLVD, Piedmont, SC 29673

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YADIRA BAEZ-LOCKARD PSY. D.

Psychologist (Clinical)

102 COMMONS BLVD, SUITE C
PIEDMONT, SC 29673

Greenville County (864) 520-8152

SANJIN MEDICAL PA

Psychologist (Prescribing (Medical))

102 COMMONS BLVD, STE C
PIEDMONT, SC 29673

Greenville County (864) 220-9115

DR. DANA LEE WILEY MD

Psychiatry & Neurology (Psychiatry)

102 COMMONS BLVD, STE C
PIEDMONT, SC 29673

Greenville County (864) 220-9115

DANA L. WILEY, MD PA

Counselor (Mental Health)

102 COMMONS BLVD, SUITE C
PIEDMONT, SC 29673

Greenville County (864) 220-9115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crescent Jeter's NPI number?

The NPI number for Crescent Jeter is 1013710490. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Crescent Jeter located?

Crescent Jeter practices at 102 Commons Blvd, Piedmont, SC 29673. The listed phone number is (864) 520-8152.

What is Crescent Jeter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Crescent Jeter was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.