Active NPI
Patricia Diane Lee, MA, LPCA
- Professional Counselor
- Travelers Rest, SC
National Provider Identifier
1851926406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8384
- Practice address
- 6715 State Park Rd
Travelers Rest, SC 29690-1831 - Phone
- (864) 363-9740
- NPI assigned
- Mar 4, 2020
- Last updated
- Aug 14, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7129 | SC | |
| Professional Counselor | 101YP2500X | 8384 | SC | Primary |
Addresses
Primary practice location
6715 State Park Rd
Travelers Rest, SC 29690-1831
Mailing address
6715 State Park Rd
Travelers Rest, SC 29690-1831
Phone (864) 363-9740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 4, 2024 through Jan 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7129 | SC | MD | Professional Counselor |
| 8384 | SC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660435200000",
"number": "1851926406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6715 STATE PARK RD",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296901831",
"telephone_number": "864-363-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6715 STATE PARK RD",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296901831",
"telephone_number": "864-363-9740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PATRICIA",
"middle_name": "DIANE",
"credential": "MA, LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2022-08-14",
"certification_date": "2022-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "7129",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "8384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Travelers Rest, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.