Active NPI
Alexis Rae Harley, MS, LPC, NCC
- Counselor
- Moncks Corner, SC
National Provider Identifier
1518549450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 7783
- Practice address
- 1714 S Live Oak Dr
Moncks Corner, SC 29461-7215 - Phone
- (843) 879-1421
- NPI assigned
- Apr 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 7783 | SC | Primary |
Addresses
Primary practice location
1714 S Live Oak Dr
Moncks Corner, SC 29461-7215
Mailing address
1714 S Live Oak Dr
Moncks Corner, SC 29461-7215
Phone (843) 879-1421
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7783 | SC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1518549450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 S LIVE OAK DR",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294617215",
"telephone_number": "843-879-1421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 S LIVE OAK DR",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294617215",
"telephone_number": "843-879-1421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLEY",
"first_name": "ALEXIS",
"middle_name": "RAE",
"credential": "MS, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-21",
"last_updated": "2021-04-21",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "7783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.