Individual provider Active NPI

Linda B Jarels, LPC

  • Professional Counselor
  • Orangeburg, SC
National Provider Identifier
1902396914
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2879 Issued in SC
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

Updated by the provider on Mar 11, 2024

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 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

IdentifierTypeStateIssuer
2879OtherSCBOARD 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2879SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Myrtle Beach Counseling Center PastSince Aug 6, 2019 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.

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

Verify at the official NPI Registry.