Shamiquia N. McPherson, MA, LPC-S CANDIDATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5835 Issued in SC

Practice address

1627 Auburn St.
Columbia, SC 29204

Phone

(803) 888-9058

Fax

(803) 724-6758

NPI assigned

Jul 16, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clear Vision Counseling, LLCGroup PAC ID 0840710034, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Clear Vision Counseling, LLC.

  • Mental Health Counselor
  • Columbia, SC
  • NPI 1306448527
  Medicare reassignment Care Compare group NPD Authorized official
• Concrete Clinical Solutions

  • Mental Health Counselor
  • Columbia, SC
  • NPI 1487269585
  NPD Authorized official

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1023492287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SOFT STONE DR",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168176",
            "telephone_number": "803-888-9058",
            "fax_number": "803-724-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 AUBURN ST.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29204",
            "telephone_number": "803-888-9058",
            "fax_number": "803-724-6758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Stony Landing Rd",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294613967",
            "country_code": "US",
            "telephone_number": "843-761-8282",
            "fax_number": "843-761-7308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "SHAMIQUIA",
        "middle_name": "N.",
        "name_prefix": "Ms.",
        "credential": "MA, LPC-S CANDIDATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1668",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mailayah Arlene McNulty, RPH
• Jasmine Symone McPhail, APRN
• Stacey Denise McPhail
• Chasmine McPhee, RN
• Alex Stewart McPherson, M.D.
• Velda Lise McPherson, APRN
• Regina McQueen, PHARMD
• Malinda Ann McQuinn
• Ophelia McQune
• Christi McRae, DC

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.

Verify at the official NPI Registry.