Active NPI
Linda B Jarels, LPC
- Professional Counselor
- Orangeburg, SC
National Provider Identifier
1902396914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2879
- Practice address
- 2323 Saint Matthews Rd
Orangeburg, SC 29118-2042 - Phone
- (803) 534-0042
- Fax
- (803) 531-0676
- NPI assigned
- May 15, 2018
- 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 | 2879 | SC | Primary |
Addresses
Primary practice location
2323 Saint Matthews Rd
Orangeburg, SC 29118-2042
Mailing address
1392 Dogwood Dive
Orangeburg, SC 29118-2042
Phone (843) 810-6478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2879 | Other | SC | BOARD OF EXAMINERS FOR COUNSELORS, THERAPISTS & PSYCHO-EDUCATIONAL SPECIALISTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2879 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myrtle Beach Counseling Center | Past | 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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1902396914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1392 DOGWOOD DIVE",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291182042",
"telephone_number": "843-810-6478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 SAINT MATTHEWS RD",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291182042",
"telephone_number": "803-534-0042",
"fax_number": "803-531-0676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARELS",
"first_name": "LINDA",
"middle_name": "B",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2024-03-11",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "2879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF EXAMINERS FOR COUNSELORS, THERAPISTS & PSYCHO-EDUCATIONAL SPECIALISTS",
"identifier": "2879",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.