Active NPI
Lashaun Jefferson
- Mental Health Counselor
- Bluffton, SC
National Provider Identifier
1134598147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10141
- Practice address
- 167 Bluffton Rd
Bluffton, SC 29910-6227 - Phone
- (843) 757-7500
- NPI assigned
- Sep 20, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10141 | SC | Primary |
Addresses
Primary practice location
167 Bluffton Rd
Bluffton, SC 29910-6227
Mailing address
1050 Ribaut Rd
Beaufort, SC 29902-5400
Other names 1
- Lashaun Richardson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
167 Bluffton Rd
Bluffton, SC 29910-6227
2414 Bull St
Columbia, SC 29201-1924
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10141 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1134598147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 RIBAUT RD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 BLUFFTON RD",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299106227",
"telephone_number": "843-757-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "LASHAUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-20",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "10141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LASHAUN",
"last_name": "RICHARDSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.