Active NPI
Jefferson D Lewis, M.A., M.DIV
- Professional Counselor
- Columbia, SC
National Provider Identifier
1851595763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4616
- Practice address
- 31 Valkyrie Cir
Columbia, SC 29229-3390 - Phone
- (803) 730-3746
- Fax
- (803) 736-4619
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- 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 | 4616 | SC | Primary |
Addresses
Primary practice location
31 Valkyrie Cir
Columbia, SC 29229-3390
Mailing address
31 Valkyrie Cir
Columbia, SC 29229-3390
Phone (803) 730-3746
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4616 | SC | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422576000000",
"number": "1851595763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 VALKYRIE CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292293390",
"telephone_number": "803-730-3746",
"fax_number": "803-736-4619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 VALKYRIE CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292293390",
"telephone_number": "803-730-3746",
"fax_number": "803-736-4619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JEFFERSON",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "M.A., M.DIV",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2015-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "4616",
"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 Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.