Active NPI
Lauren Nelson, ED.S, LPES, LPCA
- School Psychologist
- Columbia, SC
National Provider Identifier
1851176309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4788
- Practice address
- 1105 Belleview St Ste 103
Columbia, SC 29201-1839 - Phone
- (803) 401-5644
- NPI assigned
- Aug 31, 2023
- Last updated
- Aug 31, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8259 | SC | |
| School Psychologist | 103TS0200X | 4788 | SC | Primary |
Addresses
Primary practice location
1105 Belleview St Ste 103
Columbia, SC 29201-1839
Mailing address
CMR 467 Box 645
Apo, AE 09096-0007
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 |
|---|---|---|---|
| 4788 | SC | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort Psychological Services | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beaufort, SC
- NPI 1790644508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1851176309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "CMR 467 BOX 645",
"city": "APO",
"state": "AE",
"postal_code": "090960007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 BELLEVIEW ST STE 103",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292011839",
"telephone_number": "803-401-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LAUREN",
"credential": "ED.S, LPES, LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-31",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "8259",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "4788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.