Individual provider Active NPI

Patricia Hahn Jeffrey, LPC

  • Mental Health Counselor
  • Charleston, SC
National Provider Identifier
1114315710
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5804 Issued in SC
Practice address
1953 Ashley Hall Rd
Charleston, SC 29407-9670
Phone
(843) 817-4351
NPI assigned
Jan 5, 2015
Last updated
Jan 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5804 SC Primary

Addresses

Primary practice location

1953 Ashley Hall Rd
Charleston, SC 29407-9670

Mailing address

1953 Ashley Hall Rd
Charleston, SC 29407-9670
Phone (843) 817-4351

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
I20240624000386 SC Practitioner - Mental Health Counselor 3678016383 Practice locations: Charleston, SC

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1171 Southgate Dr
Charleston, SC 29407-4209
Phone (843) 817-4351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5804SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Partners PastSince Aug 1, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1114315710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 ASHLEY HALL RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294079670",
            "telephone_number": "843-817-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 ASHLEY HALL RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294079670",
            "telephone_number": "843-817-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "PATRICIA",
        "middle_name": "HAHN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.