JUSTINE RACHELLE DUNNAVANT
NPI 1760116057
Counselor - Professional in North Charleston, SC

Active since July 12, 2022PECOS EnrolledAccepts Medicare Assignment
4055 FABER PLACE DR STE 300, NORTH CHARLESTON, SC 29405(843) 641-7915 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Justine Rachelle Dunnavant NPPES

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

JUSTINE RACHELLE DUNNAVANT (NPI 1760116057) is an individual professional provider in North Charleston, South Carolina, licensed in South Carolina (8328) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1760116057
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJUSTINE RACHELLE DUNNAVANT
Location Address4055 FABER PLACE DR STE 300North Charleston, SC 29405-8524
Mailing Address1801 Watermark DrColumbus, OH 43215-7088 · (614) 438-3400
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 12, 2022
NPPES CertifiedJuly 12, 2022
NPI 1760116057 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 · 8328
4055 FABER PLACE DR STE 300, North Charleston, SC 29405

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Justine Rachelle Dunnavant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365895471
PECOS Enrollment IDI20240125000223
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
4055 FABER PLACE DR STE 300
NORTH CHARLESTON, SC 29405
Social Worker (Clinical)
4055 FABER PLACE DR STE 300
NORTH CHARLESTON, SC 29405
Community/Behavioral Health
4055 FABER PLACE DR STE 300
NORTH CHARLESTON, SC 29405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760116057, enumerated as an "individual" on July 12, 2022.

The provider is located at 4055 FABER PLACE DR STE 300 NORTH CHARLESTON, SC 29405 and the phone number is (843) 641-7915.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina and. Please consult your insurance carrier or call the provider to verify.