Individual provider Active NPI

Jacqueline Christine Sadlon, LPC

  • Professional Counselor
  • Summerville, SC
National Provider Identifier
1851262265
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11392 Issued in SC
Practice address
627 Old Trolley Rd Ste a
Summerville, SC 29485-5673
Phone
(800) 552-4357
Fax
(678) 388-9244
NPI assigned
Sep 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11392 SC Primary

Addresses

Primary practice location

627 Old Trolley Rd Ste a
Summerville, SC 29485-5673

Mailing address

627 Old Trolley Rd Ste a
Summerville, SC 29485-5673
Phone (800) 552-4357

Other names 1

  • Jacqueline Christine Penrod Former name

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
I20260127000868 SC Practitioner - Mental Health Counselor 1850878364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Counseling Services LLCGroup PAC ID 9638083298, 8 clinicians

Practice addresses (Care Compare)

201 Sigma Dr
Suite 300
Summerville, SC 29486-7722
Phone (800) 552-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11392SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Counseling Services LLC Professional CurrentSince Dec 26, 2025 Accepting new patients
Covenant Counseling of South Carolina Professional PastSince Jun 12, 2009 Accepting new patients

Locations

201 Sigma Dr
Ste 300
Summerville, SC 29486
Phone (843) 260-5361

627 Trolley Rd
Ste A
Summerville, SC 29485
Phone 8005524357109

141 Wildwood Dr
Walterboro, SC 29488
Phone (843) 549-7813

Organizations & group practices 2

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": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1851262265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 OLD TROLLEY RD STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855673",
            "telephone_number": "800-552-4357",
            "fax_number": "678-388-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 OLD TROLLEY RD STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855673",
            "telephone_number": "800-552-4357",
            "fax_number": "678-388-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLON",
        "first_name": "JACQUELINE",
        "middle_name": "CHRISTINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "11392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "PENROD",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.