Individual provider Active NPI

Jamie Ann Manko, LPC

  • Professional Counselor
  • Sumter, SC
National Provider Identifier
1538773536
Registry record updated Dec 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8913 Issued in SC
Practice address
533 Oxford St Ste a
Sumter, SC 29150-3353
Phone
(864) 501-3633
Fax
(864) 448-1766
NPI assigned
Sep 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8913 SC Primary

Addresses

Primary practice location

533 Oxford St Ste a
Sumter, SC 29150-3353

Mailing address

533 Oxford St Ste a
Sumter, SC 29150-3353
Phone (864) 501-3633

Other practice location 1

1527 Wade Hampton Blvd
Greenville, SC 29609-5047
Phone (864) 501-3633

Other names 1

  • Jamie Ann Christman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213001645 SC Practitioner - Mental Health Counselor 9234572678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beauty for Ashes Counseling, LLCGroup PAC ID 5294059515, 6 clinicians

Practice addresses (Care Compare)

556 S Pike W
Sumter, SC 29150-2616
Phone (864) 501-3633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8913SCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beauty for Ashes Counseling, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

1527 Wade Hampton Blvd
Greenville, SC 29609
Phone (864) 501-3633

533 Oxford St
Ste A
Sumter, SC 29150
Phone (803) 840-6044

556 S Pike W
Sumter, SC 29150
Phone (864) 501-3633

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702080000000",
    "number": "1538773536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 OXFORD ST STE A",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503353",
            "telephone_number": "864-501-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 OXFORD ST STE A",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503353",
            "telephone_number": "864-501-3633",
            "fax_number": "864-448-1766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1527 Wade Hampton Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296095047",
            "country_code": "US",
            "telephone_number": "864-501-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANKO",
        "first_name": "JAMIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-07",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "CHRISTMAN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.