Jazmine McFadden, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2246 Issued in DE

Practice address

1115 Belleview St Ste 101-103
Columbia, SC 29201-1839

Phone

(803) 740-9298

NPI assigned

May 28, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LRC Substance Abuse and Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia, SC
  • NPI 1083432967
  NPD Authorized official
• LRC Testing Center

  • Occupational Medicine Clinic/Center
  • Charlotte, NC
  • NPI 1306649710
  NPD Authorized official

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1235979261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5139 SADDLEBACK DR",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281200018",
            "telephone_number": "803-404-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 BELLEVIEW ST STE 101-103",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011839",
            "telephone_number": "803-740-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "JAZMINE",
        "credential": "CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "2246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayes McEntire, DMD
• Joan Michele McEwan, APRN
• Cynthia McFadden, DHSC, LISW-CP, LCSW
• Earl B. McFadden II, M.D.
• Henry McFadden
• Joan McFadden, BSW
• Kameo Janae Lare McFadden, LMSW
• Kassandra McFadden, RBT
• Ladestiny McFadden, RBT
• Miosha McFadden, LMSW

• Addiction (Substance Use Disorder) Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.