Active NPI
Kathryn Jeffery, MED. LPC
- Professional Counselor
- Orangeburg, SC
National Provider Identifier
1609800382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 878
- Practice address
- Orangeburg Area Mental Health Center
2319 St. Matthews Road
Orangeburg, SC 29118 - Phone
- (803) 536-1571
- Fax
- (803) 534-1693
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 878 | SC | Primary |
Addresses
Primary practice location
Orangeburg Area Mental Health Center
2319 St. Matthews Road
Orangeburg, SC 29118
Mailing address
Orangeburg Area Mental Health Center
2319 St. Matthews Road
Orangeburg, SC 29118
Phone (803) 536-1571
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 878 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609800382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ORANGEBURG AREA MENTAL HEALTH CENTER",
"address_2": "2319 ST. MATTHEWS ROAD",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "29118",
"telephone_number": "803-536-1571",
"fax_number": "803-534-1693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ORANGEBURG AREA MENTAL HEALTH CENTER",
"address_2": "2319 ST. MATTHEWS ROAD",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "29118",
"telephone_number": "803-536-1571",
"fax_number": "803-534-1693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERY",
"first_name": "KATHRYN",
"credential": "MED. LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.