Individual provider Active NPI

Allen Kent Maceachern, LMFT

  • Marriage & Family Therapist
  • Mount Pleasant, SC
National Provider Identifier
1497970404
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1136 Issued in SC
Practice address
1060 Cliffwood Dr # a
Mount Pleasant, SC 29464-3522
Phone
(843) 849-0453
Fax
(843) 849-6219
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1136 SC Primary

Addresses

Primary practice location

1060 Cliffwood Dr # a
Mount Pleasant, SC 29464-3522

Mailing address

1060 Cliffwood Dr # a
Mount Pleasant, SC 29464-3522
Phone (843) 849-0453

Other names 1

  • Kent Maceachern Professional name

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
1136SCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497970404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 CLIFFWOOD DR # A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643522",
            "telephone_number": "843-849-0453",
            "fax_number": "843-849-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 CLIFFWOOD DR # A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643522",
            "telephone_number": "843-849-0453",
            "fax_number": "843-849-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEACHERN",
        "first_name": "ALLEN",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "1136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENT",
            "last_name": "MACEACHERN",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.