Individual provider Active NPI

Jenelle Latrice McElveen, LPC-A

  • Counselor
  • Fort Mill, SC
National Provider Identifier
1689148876
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6979 Issued in SC
Practice address
150 BW Thomas Dr Ste 102-103
Fort Mill, SC 29708-7230
Phone
(803) 203-0997
Fax
(803) 802-5588
NPI assigned
Jan 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6979 SC Primary

Addresses

Primary practice location

150 BW Thomas Dr Ste 102-103
Fort Mill, SC 29708-7230

Mailing address

150 BW Thomas Dr Ste 102-103
Fort Mill, SC 29708-7230
Phone (803) 203-0997

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

LicenseStateTypeSpecialty
6979SCMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1689148876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BW THOMAS DR STE 102-103",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087230",
            "telephone_number": "803-203-0997",
            "fax_number": "803-802-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BW THOMAS DR STE 102-103",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087230",
            "telephone_number": "803-203-0997",
            "fax_number": "803-802-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELVEEN",
        "first_name": "JENELLE",
        "middle_name": "LATRICE",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "6979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.