Active NPI
Jennifer L Pringle, LCMHC LCAS LPC CMHC
- Professional Counselor
- Myrtle Beach, SC
National Provider Identifier
1306392139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12850
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS 23085 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 12850 | NC | MD | Dentist |
| 7246 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Cut Counseling LLC | Professional | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
| Clear Cut Counseling PLLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Bradford Associates NC LLC | Past | Accepting new patients |
Locations
3691 Palmetto Pointe Blvd
Ste 101
Myrtle Beach, SC 29588
Phone (843) 252-0323
Interoperability endpoints
- 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.
-
- Professional Counselor
- Raeford, NC
- NPI 1891305439
Addiction (Substance Use Disorder)
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
-
- Community/Behavioral Health Agency
- Aberdeen, NC
- NPI 1114268844
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.