Individual provider Active NPI

Julie Lundy, ED.S., NBCC, LPC

  • Counselor
  • Columbia, SC
National Provider Identifier
1467994921
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6093 Issued in SC
Practice address
4500 Fort Jackson Blvd Ste 110
Columbia, SC 29209-1134
Phone
(803) 931-4249
NPI assigned
Nov 14, 2016
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6093 SC Primary

Addresses

Primary practice location

4500 Fort Jackson Blvd Ste 110
Columbia, SC 29209-1134

Mailing address

PO Box 6442
Columbia, SC 29260-6442
Phone (803) 931-0878

Other practice location 1

2423 Wilmot Ave
Columbia, SC 29205-2352
Phone (803) 931-0878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6093SCMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1467994921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6442",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292606442",
            "telephone_number": "803-931-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 FORT JACKSON BLVD STE 110",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091134",
            "telephone_number": "803-931-4249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2423 Wilmot Ave",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292052352",
            "country_code": "US",
            "telephone_number": "803-931-0878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "JULIE",
        "credential": "ED.S., NBCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2022-04-11",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "6093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.