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ERNEST E. KENNEDY CENTER
NPI 1750406476
Counselor - Professional in Moncks Corner, SC

Active since March 20, 2007CLIA 42D2053636 · Waiver
306 AIRPORT DR, MONCKS CORNER, SC 29461(843) 719-3000(843) 719-3025 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ernest E. Kennedy Center NPPES

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

ERNEST E. KENNEDY CENTER (NPI 1750406476) is a healthcare organization registered as a professional in Moncks Corner, South Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Jerome Tilghman, Director Of Clinical Services, as its authorized official.

NPPES Registry Identity

NPI1750406476
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameERNEST E. KENNEDY CENTER
Location Address306 AIRPORT DRMoncks Corner, SC 29461-2629
Mailing Address306 Airport DrMoncks Corner, SC 29461-2629 · (843) 719-3000 · Fax (843) 719-3025
Phone(843) 719-3000
Fax(843) 719-3025
Organization SubpartNo
Authorized OfficialJerome TilghmanDirector Of Clinical Services · (843) 719-3000
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1750406476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 3396
306 AIRPORT DR, Moncks Corner, SC 29461
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2053636

Ernest E Kennedy Center · Moncks Corner, SC
Active · expires Feb 4, 2027
CLIA Number42D2053636
Laboratory TypeOutpatient Substance Abus
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorWehme Hutto
Laboratory Phone(843) 761-8272
Laboratory LocationErnest E Kennedy Center306 Airport Drive, Moncks Corner, SC 29461
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

DEIDRE HAYDEN LMSW
Social Worker
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 719-3000
DANA BROOKE MANDEL MA, LPC-I, CACP
Counselor (Addiction (Substance Use Disorder))
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 719-3000
MRS. SUZANNE MORRIS BLAKELEY FNP
Nurse Practitioner (Family)
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8272
JEREMY BLAKE ALSBROOK
Counselor (Addiction (Substance Use Disorder))
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8272
MR. WILLIAM BRENT REECE LPC
Counselor
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 719-3000
ANACORITA ELLISOR FNP
Nurse Practitioner (Family)
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (304) 429-1088
MISS BRITTANY DANIELLE MCLAURIN CPSS
Peer Specialist
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 719-3051
OHIO VALLEY PHYSICIANS, INC
Family Medicine
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (304) 429-1088

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 Ernest E. Kennedy Center's NPI number?

The NPI number for Ernest E. Kennedy Center is 1750406476. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Ernest E. Kennedy Center located?

Ernest E. Kennedy Center is located at 306 Airport Dr, Moncks Corner, SC 29461. The listed phone number is (843) 719-3000.

What is Ernest E. Kennedy Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Does Ernest E. Kennedy Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2053636) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ernest E. Kennedy Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.