Angela M. O'Rourke, LPCS/C, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7454 Issued in SC

Practice address

1495 Remount Rd Ste 3a
North Charleston, SC 29406-3320

Phone

(843) 882-6880

Fax

(843) 892-0394

NPI assigned

Jun 22, 2018

Last updated

Oct 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Angela M. Jacobs Former name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angie@breathelifecounseling.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Breathe Life Counseling

  • Mental Health Counselor
  • North Charleston, SC
  • NPI 1649927492
  Medicare reassignment NPD
• Breathe Life Counseling

  • Mental Health Counselor
  • North Charleston, SC
  • NPI 1144109190
  NPD

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1558856591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 REMOUNT RD STE 3A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294063320",
            "telephone_number": "843-882-6880",
            "fax_number": "843-892-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 REMOUNT RD STE 3A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294063320",
            "telephone_number": "843-882-6880",
            "fax_number": "843-892-0394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1495 Remount Rd Ste 3E",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294063320",
            "country_code": "US",
            "telephone_number": "843-631-7245",
            "fax_number": "854-222-9093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "ANGELA",
        "middle_name": "M.",
        "credential": "LPCS/C, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6837",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG1456",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC2243",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC2113",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angie@breathelifecounseling.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Breathe Life Counseling LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1495 Remount Rd Ste 3E",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294063320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "JACOBS",
            "middle_name": "M.",
            "credential": "LPCS/C, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.