Individual provider Active NPI

Lutricia Lourine Chambers, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Easley, SC
National Provider Identifier
1548065915
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
29828A Issued in SC
Practice address
105 Franklin Square Way Ste a
Easley, SC 29642-3715
Phone
(864) 442-4110
NPI assigned
Feb 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 29828A SC Primary

Addresses

Primary practice location

105 Franklin Square Way Ste a
Easley, SC 29642-3715

Mailing address

617 E Cricklewood Dr
Florence, SC 29505-5106
Phone (843) 206-9022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250326003834 SC Practitioner - Nurse Practitioner 9335662790 Reassigns benefits to 1 organization
I20260123002630 SC Practitioner - Psychiatry 9335662790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Onsite Mental HealthGroup PAC ID 3173928512, 16 clinicians
Moore Care Therapy and Psychology ClinicGroup PAC ID 5698161560, 4 clinicians

Practice addresses (Care Compare)

105 Franklin Square Way
Suite a
Easley, SC 29642-3715
Phone (864) 442-4110

436 W Palmetto St
Suite D
Florence, SC 29501-4425
Phone (843) 799-0083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29828SCMDOphthalmology Physician
29828ASCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Psychiatry, LLC Psychiatric/Mental Health CurrentSince Dec 21, 2025 Accepting new patients
Onsite Mental Health Psychiatric/Mental Health CurrentSince Feb 25, 2025 Accepting new patients
Moore Care Therapy and Psychology Clinic Psychiatric/Mental Health CurrentSince Dec 31, 2025 Accepting new patients
Rosalyn Cares Consulting LLC PastSince Dec 6, 2020 Accepting new patients

Locations

105 Franklin Square Way
#A
Easley, SC 29642
Phone (864) 442-4019

600 Senior Way
Florence, SC 29505
Phone (843) 799-1067

Organizations & group practices 4

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": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1548065915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E CRICKLEWOOD DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295055106",
            "telephone_number": "843-206-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FRANKLIN SQUARE WAY STE A",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423715",
            "telephone_number": "864-442-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "LUTRICIA",
        "middle_name": "LOURINE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "29828A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.