Individual provider Active NPI

Nicole S Deems, ED.S., LMFT, LAC

  • Marriage & Family Therapist
  • Lexington, SC
National Provider Identifier
1609082254
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4518 Issued in SC
Practice address
311 Meetze Ave Ste H
Lexington, SC 29072-2625
Phone
(803) 470-3786
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1102249 SC
Marriage & Family Therapist 106H00000X 4518 SC Primary

Addresses

Primary practice location

311 Meetze Ave Ste H
Lexington, SC 29072-2625

Mailing address

306 Drooping Leaf Rd
Lexington, SC 29072-6880
Phone (803) 600-2682

Other practice location 1

1068 S Lake Dr
Lexington, SC 29073-3720
Phone (803) 726-9342

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1102249SCMDAddiction (Substance Use Disorder) Counselor
4518SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Richland Alcohol & Drug Abuse Council, Inc. PastSince Nov 26, 2023 Accepting new patients

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1609082254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 DROOPING LEAF RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726880",
            "telephone_number": "803-600-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MEETZE AVE STE H",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722625",
            "telephone_number": "803-470-3786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1068 S Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290733720",
            "country_code": "US",
            "telephone_number": "803-726-9342",
            "fax_number": "803-726-9403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEEMS",
        "first_name": "NICOLE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "ED.S., LMFT, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "1102249",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "4518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.