Active NPI
Lisa Pittman-Spears
- Professional Counselor
- Florence, SC
National Provider Identifier
1821435975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5119
- Practice address
- 1012 Congaree Dr
Briggs Elementary School
Florence, SC 29505 - Phone
- (843) 664-8169
- NPI assigned
- May 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 5119 | SC | Primary |
Addresses
Primary practice location
1012 Congaree Dr
Briggs Elementary School
Florence, SC 29505
Mailing address
856 Chaucer Dr
Florence, SC 29505-3635
Phone (843) 615-2575
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5119 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1821435975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 CHAUCER DR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295053635",
"telephone_number": "843-615-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 CONGAREE DR",
"address_2": "BRIGGS ELEMENTARY SCHOOL",
"city": "FLORENCE",
"state": "SC",
"postal_code": "29505",
"telephone_number": "843-664-8169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN-SPEARS",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-30",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.