Individual provider Active NPI

Jennifer A Zeuschner, LPC

  • Mental Health Counselor
  • Myrtle Beach, SC
National Provider Identifier
1245530898
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7908780-6009 Issued in UT
Practice address
2411 N Oak St Ste 209F
Myrtle Beach, SC 29577-3173
Phone
(843) 212-6995
Fax
(855) 318-5403
NPI assigned
Oct 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X LPC.8882PCS SC
Mental Health Counselor 101YM0800X 7908780-6009 UT Primary

Addresses

Primary practice location

2411 N Oak St Ste 209F
Myrtle Beach, SC 29577-3173

Mailing address

2411 N Oak St Ste 209F
Myrtle Beach, SC 29577-3173
Phone (843) 212-6995

Other practice location 1

9119 S Monroe Plaza Way
Sandy, UT 84070-2682
Phone (843) 212-6995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7908780-6009UTMDMental Health Counselor
LPC.8882PCSSCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Community Behavioral Health Inc Past Accepting new patients
Square One Psychological Assessment & Supervision Services Professional PastSince May 14, 2023 Accepting new patients
Four Corners Community Behavioral Health, Inc. PastSince Dec 7, 2013 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1245530898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 N OAK ST STE 209F",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773173",
            "telephone_number": "843-212-6995",
            "fax_number": "855-318-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 N OAK ST STE 209F",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773173",
            "telephone_number": "843-212-6995",
            "fax_number": "855-318-5403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9119 S Monroe Plaza Way",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840702682",
            "country_code": "US",
            "telephone_number": "843-212-6995",
            "fax_number": "855-318-5403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEUSCHNER",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "LPC.8882PCS",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "7908780-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.