Mrs Terronda Lanae Jackson, MA, LPCA in Blythewood, SC

Mrs Terronda Lanae Jackson, MA, LPCA is a medicare enrolled "Counselor" provider in Blythewood, South Carolina. Her current practice location is 140 Hunters Run Dr, Blythewood, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 814-7115.

Mrs Terronda Lanae Jackson is licensed to practice in South Carolina (license number 6574) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992276810.

Contact Information

	Mrs Terronda Lanae Jackson, MA, LPCA
	140 Hunters Run Dr, Blythewood, SC 29016-9206
	(803) 814-7115
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Terronda Lanae Jackson
Gender	Female
Speciality	Counselor
Location	140 Hunters Run Dr, Blythewood, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992276810
Provider Enumeration Date: 12/17/2018
Last Update Date: 12/17/2018

Medicare PECOS Information:

PECOS PAC ID: 1658814355
Enrollment ID: I20240624000068

Medical Identifiers

Medical identifiers for Mrs Terronda Lanae Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992276810	NPI	-	NPPES
6574	Other	SC	LPCA
1045081474	Other		TRICARE PRIME

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6574 (South Carolina)	Secondary
101YP1600X	Counselor - Pastoral	6574 (South Carolina)	Secondary
101YP2500X	Counselor - Professional	6574 (South Carolina)	Secondary
251S00000X	Community/behavioral Health	6574 (South Carolina)	Secondary
101Y00000X	Counselor	6574 (South Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Terronda Lanae Jackson allows following entities to bill medicare on her behalf.

Entity Name	It's Your Move
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396214987 PECOS PAC ID: 4880056837 Enrollment ID: O20230808003840

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Terronda Lanae Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Terronda Lanae Jackson, MA, LPCA 140 Hunters Run Dr, Blythewood, SC 29016-9206 Ph: (302) 265-5993	Mrs Terronda Lanae Jackson, MA, LPCA 140 Hunters Run Dr, Blythewood, SC 29016-9206 Ph: (803) 814-7115

Reviews and Comments

Counselor in Blythewood, SC

Mary Sandra Alleyne-mcmillan, MHS, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Claude Bundrick Rd, Blythewood, SC 29016 Phone: 803-754-5478
Dr. Michelle Lee Priester, RHD., CRC, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 216 Deer Creek Dr, Blythewood, SC 29016 Phone: 803-747-4915
Ashley Young, LPCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 Upper Forest Ln, Blythewood, SC 29016 Phone: 803-537-1854
Melva Butler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Collett Dr, Blythewood, SC 29016 Phone: 803-707-7051
Sabrina Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 Hawkins Creek Rd, Blythewood, SC 29016 Phone: 803-477-1132
Jessie Driggers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Claude Bundrick Rd, Kiva Lodge, Blythewood, SC 29016 Phone: 803-754-5478 Fax: 803-754-9644
Christa Mclaughlin, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Coopers Edge Ln, Blythewood, SC 29016 Phone: 803-339-2037

Mrs Terronda Lanae Jackson, MA, LPCA - Medicare Counselor in Blythewood, SC