Individual provider Active NPI

Janice Elizabeth Patterson-Clarke, M.A., LPC

  • Mental Health Counselor
  • Mount Pleasant, SC
National Provider Identifier
1639586720
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4593 Issued in SC
Practice address
1002 Anna Knapp Ext
Suite 203
Mount Pleasant, SC 29464-5421
Phone
(843) 693-1848
Fax
(843) 654-9661
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4593 SC Primary

Addresses

Primary practice location

1002 Anna Knapp Ext
Suite 203
Mount Pleasant, SC 29464-5421

Mailing address

1002 Anna Knapp Ext
Suite 203
Mount Pleasant, SC 29464-5421
Phone (843) 693-1848

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4593SCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1639586720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 ANNA KNAPP EXT",
            "address_2": "SUITE 203",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645421",
            "telephone_number": "843-693-1848",
            "fax_number": "843-654-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 ANNA KNAPP EXT",
            "address_2": "SUITE 203",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645421",
            "telephone_number": "843-693-1848",
            "fax_number": "843-654-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON-CLARKE",
        "first_name": "JANICE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "4593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.