Active NPI
Jennifer K Gilmore, ED.S., LMFT, LPC
- Professional Counselor
- Lexington, SC
National Provider Identifier
1619039617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4296
- Practice address
- 301 Palmetto Park Blvd
Lexington County Mental Health Center, Adult Srvcs
Lexington, SC 29072-7872 - Phone
- (803) 359-3545
- NPI assigned
- Dec 15, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4296 | SC | Primary |
| Marriage & Family Therapist | 106H00000X | 4259 | SC |
Addresses
Primary practice location
301 Palmetto Park Blvd
Lexington County Mental Health Center, Adult Srvcs
Lexington, SC 29072-7872
Mailing address
301 Palmetto Park Blvd
Lexington County Mental Health Center, Adult Srvcs
Lexington, SC 29072-7872
Phone (803) 359-3545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 9, 2024 through Oct 9, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4296 | SC | MD | Physical Therapist |
| 4259 | SC | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1619039617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 PALMETTO PARK BLVD",
"address_2": "LEXINGTON COUNTY MENTAL HEALTH CENTER, ADULT SRVCS",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290727872",
"telephone_number": "803-359-3545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PALMETTO PARK BLVD",
"address_2": "LEXINGTON COUNTY MENTAL HEALTH CENTER, ADULT SRVCS",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290727872",
"telephone_number": "803-359-3545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "JENNIFER",
"middle_name": "K",
"credential": "ED.S., LMFT, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "4296",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "4259",
"primary": false
}
],
"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 Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.