Active NPI
Nicole S Deems, ED.S., LMFT, LAC
- Marriage & Family Therapist
- Lexington, SC
National Provider Identifier
1609082254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4518
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1102249 | SC | MD | Addiction (Substance Use Disorder) Counselor |
| 4518 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Richland Alcohol & Drug Abuse Council, Inc. | Past | 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.
-
- Addiction Medicine (Family Medicine) Physician
- Columbia, SC
- NPI 1437924438
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.