Active NPI
Sandra Nelson, LPC
- Professional Counselor
- Mount Pleasant, SC
National Provider Identifier
1003244716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5595
- Practice address
- 782 Johnnie Dodds Blvd Ste I
Mount Pleasant, SC 29464-3051 - Phone
- (843) 300-9105
- Fax
- (843) 284-3931
- NPI assigned
- Oct 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5595 | SC | Primary |
Addresses
Primary practice location
782 Johnnie Dodds Blvd Ste I
Mount Pleasant, SC 29464-3051
Mailing address
633 Highwood Cir
Charleston, SC 29412-9004
Phone (843) 300-9105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
782 Johnnie Dodds Blvd
Suite I
Mount Pleasant, SC 29464-3051
Phone (843) 300-9105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandra Nelson LLC | Professional | Current | Accepting new patients |
| Coastal Tides Counseling | Mental Health | Past | Accepting new patients |
Locations
782 Johnnie Dodds Blvd
Ste I
Mt Pleasant, SC 29464
Phone (843) 300-9105
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Mount Pleasant, SC
- NPI 1982442356
-
- Mental Health Counselor
- Mt Pleasant, SC
- NPI 1831457985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1003244716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 HIGHWOOD CIR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294129004",
"telephone_number": "843-300-9105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "782 JOHNNIE DODDS BLVD STE I",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643051",
"telephone_number": "843-300-9105",
"fax_number": "843-284-3931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "SANDRA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.