Vanessa Miranda Lobo, M.A.,LPC, LPC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6990 Issued in SC

Practice address

1340 Celebration Blvd
Unit a
Florence, SC 29501-5585

Phone

(843) 536-1180

NPI assigned

Nov 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Vanessa Lobo Miranda Professional name

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Wellspring Psychology Group LLC

  • Clinical Psychologist
  • Florence, SC
  • NPI 1255756565
  Medicare reassignment NPD

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1912370917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 ABIGAIL CT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018193",
            "telephone_number": "843-468-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 CELEBRATION BLVD",
            "address_2": "UNIT A",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015585",
            "telephone_number": "843-536-1180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Abigail Ct",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295018193",
            "country_code": "US",
            "telephone_number": "843-468-6260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOBO",
        "first_name": "VANESSA",
        "middle_name": "MIRANDA",
        "credential": "M.A.,LPC, LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "6990",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "MIRANDA",
            "middle_name": "LOBO",
            "credential": "M.A., LPC , LPC-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Darlene A Livingston I
• Tia Livingston
• LJ Health Solutions, LLC
• De'Shaunna Lloyd
• Ana Askins Loadholt, CCC-SLP
• Heather Moody Locklair, HIS # 453
• KL Locklear
• Alan Lockwood, DPT
• Adnan Mufaddal Lokhandwala, MD
• Karen Madison Long, PH.D.

• Mental Health Counselor in Florence, SC
• Providers in Florence, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.

Verify at the official NPI Registry.