Active NPI
Lakita Allen, MA, LPC
- Mental Health Counselor
- Greenville, SC
National Provider Identifier
1265024277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8790
- Practice address
- 330 Pelham Road
Building B, Suite 210
Greenville, SC 29615-4046 - Phone
- (864) 332-9956
- Fax
- (864) 841-8958
- NPI assigned
- Feb 10, 2021
- Last updated
- Jul 1, 2023
- 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 | 8790 | SC | Primary |
Addresses
Primary practice location
330 Pelham Road
Building B, Suite 210
Greenville, SC 29615-4046
Mailing address
330B Pelham Rd Ste 210
Greenville, SC 29615-3116
Phone (864) 332-9956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC2717 | Medicaid | SC |
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True to Herself Therapy for Girls and Women | Mental Health | Current | Accepting new patients |
Locations
330 Pelham Rd
#B
Greenville, SC 29615
Phone (864) 332-9956
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.
-
- Mental Health Counselor
- Greenville, SC
- NPI 1619668290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688169600000",
"number": "1265024277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330B PELHAM RD STE 210",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153116",
"telephone_number": "864-332-9956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 PELHAM ROAD",
"address_2": "BUILDING B, SUITE 210",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154046",
"telephone_number": "864-332-9956",
"fax_number": "864-841-8958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "LAKITA",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-10",
"last_updated": "2023-07-01",
"certification_date": "2023-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "8790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC2717",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.