Individual provider Active NPI

Lakita Allen, MA, LPC

  • Mental Health Counselor
  • Greenville, SC
National Provider Identifier
1265024277
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8790 Issued in SC
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PC2717MedicaidSC

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

OrganizationSpecialtyStatusNew patients
True to Herself Therapy for Girls and Women Mental Health CurrentSince May 21, 2023 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.

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.

Verify at the official NPI Registry.