Active NPI
Elizabeth H. Prendergast, M.A., M.ED., LPCI
- Professional Counselor
- Mt Pleasant, SC
National Provider Identifier
1750753877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6243
- Practice address
- 913 Bowman Rd
Suite 104
Mt Pleasant, SC 29464-3235 - Phone
- (843) 708-3998
- NPI assigned
- Oct 28, 2015
- 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 | 6243 | SC | Primary |
Addresses
Primary practice location
913 Bowman Rd
Suite 104
Mt Pleasant, SC 29464-3235
Mailing address
1283 S Barksdale Rd
Mt Pleasant, SC 29464-5136
Phone (843) 708-3998
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, Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6243 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1750753877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1283 S BARKSDALE RD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294645136",
"telephone_number": "843-708-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 BOWMAN RD",
"address_2": "SUITE 104",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643235",
"telephone_number": "843-708-3998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENDERGAST",
"first_name": "ELIZABETH",
"middle_name": "H.",
"credential": "M.A., M.ED., LPCI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-28",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.