Active NPI
Lera Shanti Thierry, M.A.
- Counselor
- Columbia, SC
National Provider Identifier
1285750893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2715 Colonial Dr
Columbia, SC 29203-6818 - Phone
- (803) 898-4777
- Fax
- (803) 898-4855
- NPI assigned
- Mar 22, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2715 Colonial Dr
Columbia, SC 29203-6818
Mailing address
213 Arbor Falls Drive
Columbia, SC 29229-8055
Phone (803) 736-3169
Other names 1
- Miss Lera Shanti Edmunds
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285750893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 ARBOR FALLS DRIVE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298055",
"telephone_number": "803-736-3169",
"fax_number": "803-736-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 COLONIAL DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036818",
"telephone_number": "803-898-4777",
"fax_number": "803-898-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIERRY",
"first_name": "LERA",
"middle_name": "SHANTI",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LERA",
"last_name": "EDMUNDS",
"middle_name": "SHANTI",
"prefix": "MISS",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.