Individual provider Active NPI

Lashaun Rana Garrett-Fears, M.A.

  • Mental Health Counselor
  • Moncks Corner, SC
National Provider Identifier
1942415781
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39001626A Issued in IN
Practice address
533 Pendleton Dr
Moncks Corner, SC 29461-8872
Phone
(971) 389-4050
Fax
(971) 351-6191
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C7395 OR
Mental Health Counselor 101YM0800X 39001626A IN Primary

Addresses

Primary practice location

533 Pendleton Dr
Moncks Corner, SC 29461-8872

Mailing address

533 Pendleton Dr
Moncks Corner, SC 29461-8872
Phone (971) 389-4050

Other names 1

  • Lashaun Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
39001626AINMDMental Health Counselor
C7395ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1942415781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 PENDLETON DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294618872",
            "telephone_number": "971-389-4050",
            "fax_number": "971-351-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 PENDLETON DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294618872",
            "telephone_number": "971-389-4050",
            "fax_number": "971-351-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT-FEARS",
        "first_name": "LASHAUN",
        "middle_name": "RANA",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7395",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001626A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LASHAUN",
            "last_name": "CLARK",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.