Individual provider Active NPI

Stephanie T Coleman, LPC

  • Professional Counselor
  • North Charleston, SC
National Provider Identifier
1912587296
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10160 Issued in SC
Practice address
8570 Rivers Ave Ste 161
North Charleston, SC 29406-9893
Phone
(678) 850-4142
Fax
(844) 991-1827
NPI assigned
Apr 12, 2021
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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 10160 SC Primary

Addresses

Primary practice location

8570 Rivers Ave Ste 161
North Charleston, SC 29406-9893

Mailing address

100 Dasharon LN
Goose Creek, SC 29445-7298
Phone (678) 850-4142

Other practice location 1

4000 Faber Place Dr Ste 315
Charleston, SC 29405-8585
Phone (678) 850-4142

Other identifiers 1

IdentifierTypeStateIssuer
PC3002MedicaidSC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250409001656 SC Practitioner - Mental Health Counselor 5496279671 Practice locations: North Charleston, SC

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8570 Rivers Ave
Suite 161
North Charleston, SC 29406-9893
Phone (678) 850-4142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10160SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Coleman, Mental Health Professional, LLC Professional CurrentSince Sep 9, 2024 Accepting new patients

Locations

4000 Faber Place Dr
#315
Charleston, SC 29405
Phone (678) 850-4142

8570 Rivers Ave
Ste 161
North Charleston, SC 29406
Phone (678) 850-4142

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1912587296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DASHARON LN",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457298",
            "telephone_number": "678-850-4142",
            "fax_number": "844-991-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8570 RIVERS AVE STE 161",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069893",
            "telephone_number": "678-850-4142",
            "fax_number": "844-991-1827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Faber Place Dr Ste 315",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294058585",
            "country_code": "US",
            "telephone_number": "678-850-4142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "STEPHANIE",
        "middle_name": "T",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "10160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC3002",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.