Individual provider Active NPI

Terri Southard, MS, LPC

  • Professional Counselor
  • North Charleston, SC
National Provider Identifier
1952706475
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2264 Issued in SC
Practice address
5133 Rivers Ave
North Charleston, SC 29406-6338
Phone
(843) 789-1786
Fax
(843) 958-1263
NPI assigned
Oct 27, 2014
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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 2264 SC Primary

Addresses

Primary practice location

5133 Rivers Ave
North Charleston, SC 29406-6338

Mailing address

1925 Savannah Hwy
Charleston, SC 29407-6250
Phone (843) 894-4089

Other practice location 1

1925 Savannah Hwy
Charleston, SC 29407-6250
Phone (843) 608-1622

Other identifiers 1

IdentifierTypeStateIssuer
PC1446MedicaidSC

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
I20240411002359 SC Practitioner - Mental Health Counselor 2567801475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5133 Rivers Ave
North Charleston, SC 29406-6338
Phone (843) 789-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2264SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper Saint Francis Physicians Network Professional CurrentSince Mar 18, 2024 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Mar 18, 2024 Accepting new patients
Roper Saint Franics Physicians Network Past Accepting new patients

Locations

2093 Henry Tecklenburg Dr
Ste 202
Charleston, SC 29414
Phone (843) 958-2590

2093 Henry Tecklenburg Dr
Ste 202E
Charleston, SC 29414
Phone (843) 958-2520

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

5133 Rivers Ave
North Charleston, SC 29406
Phone (843) 789-1786

Organizations & group practices 4

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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1952706475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076250",
            "telephone_number": "843-894-4089",
            "fax_number": "843-970-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066338",
            "telephone_number": "843-789-1786",
            "fax_number": "843-958-1263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 Savannah Hwy",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294076250",
            "country_code": "US",
            "telephone_number": "843-608-1622",
            "fax_number": "843-970-2383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHARD",
        "first_name": "TERRI",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "2264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1446",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.