JACQUELINE MARIE ADDIS
NPI 1063118701
Counselor - Mental Health in Greenville, SC

Active since February 03, 2023
124 MALLARD ST, GREENVILLE, SC 29601(864) 241-1040 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Marie Addis NPPES

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

JACQUELINE MARIE ADDIS (NPI 1063118701) is an individual mental health provider in Greenville, South Carolina and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1063118701
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE MARIE ADDIS
Location Address124 MALLARD STGreenville, SC 29601-4046
Mailing Address124 Mallard StGreenville, SC 29601-4046 · (864) 241-1040
Sole ProprietorNo
Enumeration DateFebruary 3, 2023
NPPES CertifiedFebruary 3, 2023
NPI 1063118701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
124 MALLARD ST, Greenville, SC 29601

Other Providers at the Same Location NPPES 20

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

Registered Nurse
124 MALLARD ST
GREENVILLE, SC 29601
Counselor (Mental Health)
124 MALLARD ST
GREENVILLE, SC 29601
Counselor (Mental Health)
124 MALLARD ST
GREENVILLE, SC 29601
Registered Nurse
124 MALLARD ST
GREENVILLE, SC 29601
Counselor
124 MALLARD ST
GREENVILLE, SC 29601
Counselor
124 MALLARD ST
GREENVILLE, SC 29601
Clinic/Center (Mental Health (Including Community Mental Health Center))
124 MALLARD ST
GREENVILLE, SC 29601
Counselor (Mental Health)
124 MALLARD ST
GREENVILLE, SC 29601

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 Jacqueline Addis's NPI number?

The NPI number for Jacqueline Addis is 1063118701. It was assigned to this individual provider in the NPPES registry on February 3, 2023.

Where is Jacqueline Addis located?

Jacqueline Addis practices at 124 Mallard St, Greenville, SC 29601. The listed phone number is (864) 241-1040.

What is Jacqueline Addis'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 Jacqueline Addis was last updated on February 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.