Organization Active NPI

Jefferson Wellness and Consulting LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, SC
National Provider Identifier
1902683840
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JEFFERSON WELLNESS AND CONSULTING LLC
Practice address
1103 Belleview St Ste 104
Columbia, SC 29201-1871
Phone
(803) 318-9826
NPI assigned
Sep 13, 2023
Last updated
Nov 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Dr. Lanita Michelle Jefferson, PH.D., LPC, LPCSNPI 1124669072
Title
Owner
Phone
(803) 315-0302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1103 Belleview St Ste 104
Columbia, SC 29201-1871

Mailing address

441 Alderston Way
Columbia, SC 29229-9531
Phone (803) 315-0302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240402000180 SC Part B Supplier - Clinic/Group Practice 9335587906 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

1103 Belleview St
Ste 104
Columbia, SC 29201
Phone (803) 315-0302

1111 Belleview St
Ste 101
Columbia, SC 29201
Phone (803) 318-9826

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1902683840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 ALDERSTON WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299531",
            "telephone_number": "803-315-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 BELLEVIEW ST STE 104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011871",
            "telephone_number": "803-318-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON WELLNESS AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "LANITA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-315-0302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPC, LPCS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.