Nadeije Rita Ahearn, MS, LPC – Professional Counselor

Key facts

NPI: 1811203441
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: 5628 (SC)
Practice address: 1803 Cherokee Rd
Florence, SC 29501-4184
Phone: (843) 661-6030
NPI assigned: Aug 20, 2010
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Master of Science

State licenses

License	State	Type	Specialty
5220	CT	MD	Military Health Care Provider

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X
Professional Counselor	101YP2500X	5628	SC	Yes

Addresses

Primary practice location

1803 Cherokee Rd
Florence, SC 29501-4184

Mailing address

1803 Cherokee Rd
Florence, SC 29501-4184
Phone (843) 661-6030

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 13, 2014.

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1811203441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 CHEROKEE RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014184",
            "telephone_number": "843-661-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 CHEROKEE RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014184",
            "telephone_number": "843-661-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHEARN",
        "first_name": "NADEIJE",
        "middle_name": "RITA",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

All providers in Florence, SC · Professional Counselor in South Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.