Jacqueline Hanks, ED.S, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6984 Issued in SC

Practice address

125 Alpine Cir
Columbia, SC 29223-6385

Phone

(803) 779-3548

Fax

(803) 799-7055

NPI assigned

Nov 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• MFCT, LLC

  • Professional Counselor
  • Columbia, SC
  • NPI 1124686407
  NPD Authorized official
• The Collective Conscience, LLC

  • Marriage & Family Therapist
  • Columbia, SC
  • NPI 1245964832
  NPD Authorized official
• Lexington Richland Alcohol & Drug Abuse Council, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia, SC
  • NPI 1538153069
  NPD
• Crossroads Treatment Center of Columbia

  • Clinic Pharmacy
  • Columbia, SC
  • NPI 1689950636
  NPD (past)
• Crossroads Treatment Center of Columbia, PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia, SC
  • NPI 1578006433
  NPD (past)
• Lexington Richland Alcohol & Drug Abuse Council, Inc.

  • Addiction Medicine (Family Medicine) Physician
  • Columbia, SC
  • NPI 1437924438
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1366955403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 WHITBY RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632435",
            "telephone_number": "803-338-5059",
            "fax_number": "803-638-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ALPINE CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236385",
            "telephone_number": "803-779-3548",
            "fax_number": "803-799-7055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Richland St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012522",
            "country_code": "US",
            "telephone_number": "803-338-5059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1421 Bluff Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292014809",
            "country_code": "US",
            "telephone_number": "803-733-5855",
            "fax_number": "803-733-5892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANKS",
        "first_name": "JACQUELINE",
        "credential": "ED.S, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-12",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "6984",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6984",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hands of Care Caregivers LLC
• Hanger Prosthetics & Orthotics Inc
• Kashay Hankerson, RBT
• Daniel John Hankes, PA-C
• Amber Jones Hankins, MA
• Shenelle Maria Hanley, LPC
• Bryce William Hanmann
• Beverly Ann Hanna, LISW-CP
• Brandon William Hanna, MD
• John H. Hanna, MD

• Professional Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.