Individual provider Active NPI

Marjorie J Avent, LPC-A

  • Counselor
  • Charleston, SC
National Provider Identifier
1396431540
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5571 Issued in SC
Practice address
198 Rutledge Ave Ste 8
Charleston, SC 29403-5835
Phone
(843) 926-1625
NPI assigned
Apr 12, 2023
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5571 SC Primary

Addresses

Primary practice location

198 Rutledge Ave Ste 8
Charleston, SC 29403-5835

Mailing address

2413 Old Georgetown Rd
Mount Pleasant, SC 29466-8834
Phone (843) 513-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 7, 2025 through May 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5571SCMDCounselor
10161SCMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1396431540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 OLD GEORGETOWN RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668834",
            "telephone_number": "843-513-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 RUTLEDGE AVE STE 8",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035835",
            "telephone_number": "843-926-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENT",
        "first_name": "MARJORIE",
        "middle_name": "J",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "5571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.