Active NPI
True Light Counseling and Consulting
- Professional Counselor
- Blythewood, SC
National Provider Identifier
1942774955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- TRUE LIGHT COUNSELING AND CONSULTING
- Practice address
- 140 Hunters Run Dr
Blythewood, SC 29016-9206 - Phone
- (302) 265-5993
- NPI assigned
- Jan 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Terronda Lanae' Jackson, MA, LPCA
- Title
- Psychotherapist
- Phone
- (803) 814-7115
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 101YP2500X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
140 Hunters Run Dr
Blythewood, SC 29016-9206
Mailing address
140 Hunters Run Dr
Blythewood, SC 29016-9206
Phone (302) 265-5993
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1045081474 | Other | TRICARE PRIME | |
| 6574 | Other | SC | LPCA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Blythewood, SC
- NPI 1992276810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547424000000",
"number": "1942774955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 HUNTERS RUN DR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290169206",
"telephone_number": "302-265-5993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 HUNTERS RUN DR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290169206",
"telephone_number": "302-265-5993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUE LIGHT COUNSELING AND CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-14",
"last_updated": "2019-01-14",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "TERRONDA",
"authorized_official_middle_name": "LANAE'",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "803-814-7115",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MA, LPCA"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PRIME",
"identifier": "1045081474",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPCA",
"identifier": "6574",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blythewood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.