Individual provider Active NPI

Julie McLeod

  • Mental Health Counselor
  • Mount Pleasant, SC
National Provider Identifier
1801292628
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5719 Issued in SC
Practice address
990 Lake Hunter Cir
Suite 1-a
Mt Pleasant, SC 29464-5426
Phone
(843) 881-4117
NPI assigned
Nov 5, 2014
Last updated
Nov 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 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 5719 SC Primary

Addresses

Primary practice location

990 Lake Hunter Cir
Suite 1-a
Mt Pleasant, SC 29464-5426

Mailing address

990 Lake Hunter Cir
Suite 1-a
Mt Pleasant, SC 29464-5426
Phone (843) 881-4117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305004570 SC Practitioner - Mental Health Counselor 7719323310 Practice locations: Mt Pleasant, SC; Charleston, SC

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

782 Johnnie Dodds Blvd
Suite I
Mt Pleasant, SC 29464-3051
Phone (843) 327-2579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5719SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Tides Counseling Mental Health PastSince Feb 19, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1801292628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 LAKE HUNTER CIR",
            "address_2": "SUITE 1-A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645426",
            "telephone_number": "843-881-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 LAKE HUNTER CIR",
            "address_2": "SUITE 1-A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645426",
            "telephone_number": "843-881-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.