Jeremy Henderson-Teelucksingh, MA, MHR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9217 University Blvd Ste C1A
North Charleston, SC 29406-9147

Phone

(843) 619-7989

NPI assigned

May 11, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557532800000",
    "number": "1639735004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 HOLMGREN ST",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668372",
            "telephone_number": "415-786-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 UNIVERSITY BLVD STE C1A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069147",
            "telephone_number": "843-619-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON-TEELUCKSINGH",
        "first_name": "JEREMY",
        "credential": "MA, MHR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-11",
        "last_updated": "2019-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Hellams
• Rachel Alexandra Heller
• Kelsie Pharr Helton, APRN
• Sarah Nicole Helton, M.ED. LPES
• Elizabeth Heman
• Kelsey Henderson, DPT
• Colleen Patricia Hennelly, O.D.
• Emma Gwynne Hennessy Smith
• Lloyd Earl Hepburn Jr., MD
• Here for You Home Healthcare

• Mental Health Counselor in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.