Carrie Lee Alexander, LPC
Individual provider Active NPI Professional Counselor · Florence, SC
NPI 1265744015 · NPPES record last updated Jul 9, 2010
Key facts
- NPI
- 1265744015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5094 (SC)
- Practice address
- 1008 Clement St
Florence, SC 29501-2373 - Phone
- (843) 622-4822
- NPI assigned
- Jul 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellspring Psychology Group LLC
Practice addresses (Care Compare)
1340 Celebration Blvd
Florence, SC 29501-5585
Phone (843) 536-1180
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260407002632 | SC | Practitioner - Mental Health Counselor | 0648745620 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5094 | SC | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5094 | SC | Yes |
Addresses
Primary practice location
1008 Clement St
Florence, SC 29501-2373
Mailing address
PO Box 904
Florence, SC 29503-0904
Phone (843) 622-4822
Other providers in Florence, SC
- Ramzy Al-Hourany
- Rodney K Alan
- Bobby Lee Thomas Aldridge
- Charles G Aldridge
- Anthony Wayne Alexander
- Clarence R Alexander Jr.
- Shannon Alexander
- Thelma Williams Alexander
- Tonya Alexander
- Alexandr Michael Federer
All providers in Florence, SC · Professional Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.