Active NPI
Kerry Lachance, PHD, LPC
- Rehabilitation Psychologist
- Columbia, SC
National Provider Identifier
1083789994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 4694
- Practice address
- Fifteen Medical Park
Suite 103
Columbia, SC 29203 - Phone
- (803) 434-4300
- Fax
- (803) 255-3451
- NPI assigned
- Nov 24, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | 4694 | SC | Primary |
Addresses
Primary practice location
Fifteen Medical Park
Suite 103
Columbia, SC 29203
Mailing address
Fifteen Medical Park
Suite 300
Columbia, SC 29203
Phone (803) 255-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4694 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229385600000",
"number": "1083789994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FIFTEEN MEDICAL PARK",
"address_2": "SUITE 300",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-255-3400",
"fax_number": "803-255-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FIFTEEN MEDICAL PARK",
"address_2": "SUITE 103",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-434-4300",
"fax_number": "803-255-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACHANCE",
"first_name": "KERRY",
"name_prefix": "Prof.",
"credential": "PHD, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2008-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "SC",
"license": "4694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.