Individual provider Active NPI

Jennifer L Pringle, LCMHC LCAS LPC CMHC

  • Professional Counselor
  • Myrtle Beach, SC
National Provider Identifier
1306392139
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12850 Issued in NC
Practice address
3691 Palmetto Pointe Blvd Ste 101
Myrtle Beach, SC 29588-1202
Phone
(843) 252-0323
Fax
(910) 364-9966
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS 23085 NC
Professional Counselor 101YP2500X 7246 SC
Professional Counselor 101YP2500X 12850 NC Primary

Addresses

Primary practice location

3691 Palmetto Pointe Blvd Ste 101
Myrtle Beach, SC 29588-1202

Mailing address

3691 Palmetto Pointe Blvd Ste 101
Myrtle Beach, SC 29588-1202
Phone (843) 252-0323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822000577 SC Practitioner - Mental Health Counselor 6800335829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3691 Palmetto Pointe Blvd
Suite 101
Myrtle Beach, SC 29588-1202
Phone (843) 252-0323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS 23085NCMDAddiction (Substance Use Disorder) Counselor
12850NCMDDentist
7246SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Cut Counseling LLC Professional CurrentSince May 25, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Clear Cut Counseling PLLC Addiction (Substance Use Disorder) CurrentSince Aug 1, 2020 Accepting new patients
Bradford Associates NC LLC PastSince Sep 28, 2025 Accepting new patients

Locations

3691 Palmetto Pointe Blvd
Ste 101
Myrtle Beach, SC 29588
Phone (843) 252-0323

Interoperability endpoints

  • Direct secure messaging: jenniferpringle@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1306392139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3691 PALMETTO POINTE BLVD STE 101",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295881202",
            "telephone_number": "843-252-0323",
            "fax_number": "910-364-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 PALMETTO POINTE BLVD STE 101",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295881202",
            "telephone_number": "843-252-0323",
            "fax_number": "910-364-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINGLE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LCMHC  LCAS LPC CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS 23085",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7246",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.