Individual provider Active NPI

Jennifer F Elkins, EDD LPC LPCS RPTS

  • Professional Counselor
  • Simpsonville, SC
National Provider Identifier
1003875519
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4156 Issued in SC
Practice address
887 NE Main St Ste C
Simpsonville, SC 29681-2041
Phone
(864) 538-6906
Fax
(864) 479-4141
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4156 SC Primary

Addresses

Primary practice location

887 NE Main St Ste C
Simpsonville, SC 29681-2041

Mailing address

887 NE Main St Ste C
Simpsonville, SC 29681-2041
Phone (843) 615-2770

Other practice location 1

2135 Hoffmeyer Rd Ste B
Florence, SC 29501-4087
Phone (864) 538-6906

Other identifiers 2

IdentifierTypeStateIssuer
GP5471MedicaidSC
PC1016MedicaidSC

Other names 1

  • Jennifer L Ferguson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240913000252 SC Practitioner - Mental Health Counselor 1355616392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Family Works LLCGroup PAC ID 8224303250, 2 clinicians

Practice addresses (Care Compare)

2135 Hoffmeyer Rd
Suite B
Florence, SC 29501-4087
Phone (843) 661-6030

887 NE Main St
Suite C
Simpsonville, SC 29681-2041
Phone (864) 538-6906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4982SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Family Works LLC Professional CurrentSince May 17, 2017 Accepting new patients

Locations

2135 Hoffmeyer Rd
Ste B
Florence, SC 29501
Phone (843) 661-6030

1803 Cherokee Rd
Florence, SC 29501
Phone (843) 409-3046

887 NE Main St
Ste C
Simpsonville, SC 29681
Phone (843) 615-2770

Networks

  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1003875519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 NE MAIN ST STE C",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812041",
            "telephone_number": "843-615-2770",
            "fax_number": "864-228-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 NE MAIN ST STE C",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812041",
            "telephone_number": "864-538-6906",
            "fax_number": "864-479-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2135 Hoffmeyer Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295014087",
            "country_code": "US",
            "telephone_number": "864-538-6906",
            "fax_number": "864-479-4141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "JENNIFER",
        "middle_name": "F",
        "credential": "EDD LPC LPCS RPTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5471",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1016",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FERGUSON",
            "middle_name": "L",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.