Active NPI
Thearica L Bright-Mickle, LPC
- Professional Counselor
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10736
- Practice address
- 651 Scholar Way Ste 101
Summerville, SC 29486-3052 - Phone
- (843) 501-1099
- NPI assigned
- Nov 23, 2021
- Last updated
- Apr 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0019057 | CO | |
| Professional Counselor | 101YP2500X | 10736 | SC | Primary |
Addresses
Primary practice location
651 Scholar Way Ste 101
Summerville, SC 29486-3052
Mailing address
651 Scholar Way Ste 101
Summerville, SC 29486-3052
Phone (854) 895-4696
Other practice location 1
9651 Spencer Woods Rd
Ladson, SC 29456-9601
Phone (854) 205-6356
Other practice location 2
4000 Faber Place Dr Ste 110
North Charleston, SC 29405-8585
Phone (843) 501-1099
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0019057 | CO | MD | Mental Health Counselor |
| 10736 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Counseling Center PC | Mental Health | Current | Accepting new patients |
| Myrtle Beach Counseling Center | Mental Health | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137
4000 Faber Place Dr
Ste 110
North Charleston, SC 29405
Phone (854) 246-1100
651 Scholar Way
Ste 101
Summerville, SC 29486
Phone (630) 884-9012
Organizations & group practices 2
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.
-
dba Lifestance Health
- Mental Health Counselor
- Mount Pleasant, SC
- NPI 1316375678
-
- Mental Health Counselor
- Myrtle Beach, SC
- NPI 1235784661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1952068124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 SCHOLAR WAY STE 101",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294863052",
"telephone_number": "854-895-4696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 SCHOLAR WAY STE 101",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294863052",
"telephone_number": "843-501-1099"
}
],
"practiceLocations": [
{
"address_1": "9651 Spencer Woods Rd",
"address_purpose": "LOCATION",
"city": "Ladson",
"state": "SC",
"postal_code": "294569601",
"country_code": "US",
"telephone_number": "854-205-6356",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Faber Place Dr Ste 110",
"address_purpose": "LOCATION",
"city": "North Charleston",
"state": "SC",
"postal_code": "294058585",
"country_code": "US",
"telephone_number": "843-501-1099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIGHT-MICKLE",
"first_name": "THEARICA",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0019057",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "10736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.