Individual provider Active NPI

Lacinda A McCormack

  • Mental Health Counselor
  • Barnwell, SC
National Provider Identifier
1326361544
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
916 Reynolds Rd
Barnwell, SC 29812-6358
Phone
(803) 259-7170
Fax
(803) 259-2934
NPI assigned
Mar 2, 2010
Last updated
Mar 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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 NU Primary

Addresses

Primary practice location

916 Reynolds Rd
Barnwell, SC 29812-6358

Mailing address

1135 Gregg Hwy
Aiken, SC 29801-6341
Phone (803) 641-7700

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
I20250609000213 SC Practitioner - Mental Health Counselor 2961912035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6496SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Mar 20, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Mar 20, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients

Locations

1135 Gregg Hwy NW
Aiken, SC 29801
Phone (803) 641-7700

916 Reynolds Rd
Barnwell, SC 29812
Phone (803) 259-7170

Organizations & group practices 3

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": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1326361544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 GREGG HWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016341",
            "telephone_number": "803-641-7700",
            "fax_number": "803-641-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 REYNOLDS RD",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298126358",
            "telephone_number": "803-259-7170",
            "fax_number": "803-259-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "LACINDA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnwell, SC

Sources for this page

Verify at the official NPI Registry.