IndividualActive
Jacqueline Addis
NPI 1063118701 · Mental Health Counselor · Greenville, SC
Jacqueline Addis is a Mental Health Counselor provider in Greenville, SC (NPI 1063118701).
Provider details
- NPI number
- 1063118701
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
124 Mallard St
Greenville, SC 29601-4046
Phone: (864) 241-1040
Street-level locationGet directions
Mailing address
124 Mallard St
Greenville, SC 29601-4046
Registry dates
- Enumerated
- 2023-02-03
- Last updated
- 2023-02-03
- Certified
- 2023-02-03
Frequently asked questions
- What is Jacqueline Addis's NPI number?
- Jacqueline Addis's National Provider Identifier (NPI) is 1063118701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Addis's specialty?
- Jacqueline Addis is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jacqueline Addis located?
- Jacqueline Addis's practice location on file with NPPES is 124 Mallard St, Greenville, SC 29601-4046.
- What is Jacqueline Addis's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Addis is (864) 241-1040.
- Is Jacqueline Addis's NPI active?
- Yes — Jacqueline Addis's NPI (1063118701) is active in the NPPES registry as of the last update on 2023-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.