Jerome Edward Tilghman Jr., LPC, CAC II

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3396 Issued in SC

Practice address

117 E Main St
Moncks Corner, SC 29461-3764

Phone

(843) 312-3319

Fax

(800) 948-6030

NPI assigned

May 15, 2007

Last updated

Mar 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551571200000",
    "number": "1184830275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294610474",
            "telephone_number": "843-364-2321",
            "fax_number": "800-948-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E MAIN ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613764",
            "telephone_number": "843-312-3319",
            "fax_number": "800-948-6030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Airport Dr",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294612629",
            "country_code": "US",
            "telephone_number": "843-312-3319",
            "fax_number": "800-948-6030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILGHMAN",
        "first_name": "JEROME",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC, CAC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "5",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "3396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Xiaoyun Thomas, RD
• Riana Nio Thomas, LMSW
• Jason Thomason, OD
• Alonya C Thompson
• Kelly Lewis Thompson, DMD
• Cawana Michelle Tisdale
• Margaret McSwain Tolar, PA-C
• Tawanda Tolliver-McHenry, M.A.
• Phillip William Tolman, PA
• Glenda Reed Torricelli, M.D.

• Professional Counselor in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.