Individual provider Active NPI

Linda A Mounce, LPC

  • Counselor
  • Bluffton, SC
National Provider Identifier
1093994618
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5226 Issued in SC
Practice address
110 Traders Cross
Suite 224
Bluffton, SC 29909-4637
Phone
(843) 284-6558
NPI assigned
Oct 31, 2007
Last updated
Aug 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C0700013 OH
Counselor 101Y00000X 5226 SC Primary

Addresses

Primary practice location

110 Traders Cross
Suite 224
Bluffton, SC 29909-4637

Mailing address

110 Traders Cross
Suite 224
Bluffton, SC 29909-4637
Phone (843) 284-6558

Other identifiers 1

IdentifierTypeStateIssuer
PC1291MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 18, 2024 through Jan 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C0700013OHMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1093994618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TRADERS CROSS",
            "address_2": "SUITE 224",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299094637",
            "telephone_number": "843-284-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TRADERS CROSS",
            "address_2": "SUITE 224",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299094637",
            "telephone_number": "843-284-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNCE",
        "first_name": "LINDA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C0700013",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "5226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1291",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.