Individual provider Active NPI

Rachel Burlingame, LPC

  • Mental Health Counselor
  • Charleston, SC
National Provider Identifier
1932820669
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10856 Issued in SC
Practice address
2225 Ashley Crossing Dr Ste 102
Charleston, SC 29414-5853
Phone
(843) 580-8190
NPI assigned
Sep 12, 2022
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10856 SC Primary

Addresses

Primary practice location

2225 Ashley Crossing Dr Ste 102
Charleston, SC 29414-5853

Mailing address

203 Jedediah CT
Charleston, SC 29412-2484
Phone (803) 450-7036

Other practice location 1

29 Leinbach Dr Ste D4
Charleston, SC 29407-7086
Phone (843) 509-6521

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
I20251125000658 SC Practitioner - Mental Health Counselor 1052803293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifesource of North CarolinaGroup PAC ID 7416132428, 172 clinicians

Practice addresses (Care Compare)

939 Springdale Dr
Clinton, SC 29325-7266
Phone (910) 742-9243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10856SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Neuro, LLC CurrentSince Sep 1, 2022 Accepting new patients
Lifesource of North Carolina CurrentSince Nov 15, 2025 Accepting new patients
Lifesource of North Carolina CurrentSince Nov 15, 2025 Accepting new patients

Locations

29 Leinbach Dr
Ste D4
Charleston, SC 29407
Phone (843) 212-6801

1915 Ebenezer Rd
Rock Hill, SC 29732
Phone (305) 866-9951

Organizations & group practices 3

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1932820669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 JEDEDIAH CT",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122484",
            "telephone_number": "803-450-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 ASHLEY CROSSING DR STE 102",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145853",
            "telephone_number": "843-580-8190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Leinbach Dr Ste D4",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294077086",
            "country_code": "US",
            "telephone_number": "843-509-6521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURLINGAME",
        "first_name": "RACHEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "10856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.