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

Mrs Terronda Lanae Jackson, MA, LPCA is a Counselor based in Blythewood, South Carolina. Mrs Terronda Lanae Jackson is licensed to practice in South Carolina (license number 6574) and her current practice location is 140 Hunters Run Dr, Blythewood, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 814-7115.

NPI number for Mrs Terronda Lanae Jackson is 1992276810 and her current mailing address is 140 Hunters Run Dr, Blythewood, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. 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 NameMrs Terronda Lanae Jackson
GenderFemale
SpecialityCounselor
Location140 Hunters Run Dr, Blythewood, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992276810
  • Provider Enumeration Date: 12/17/2018
  • Last Update Date: 12/17/2018

Medical Identifiers

Medical identifiers for Mrs Terronda Lanae Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992276810NPI-NPPES
6574OtherSCLPCA
1045081474OtherTRICARE PRIME

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 6574 (South Carolina)Secondary
101YP1600XCounselor - Pastoral 6574 (South Carolina)Secondary
101YP2500XCounselor - Professional 6574 (South Carolina)Secondary
251S00000XCommunity/behavioral Health 6574 (South Carolina)Secondary
101Y00000XCounselor 6574 (South Carolina)Primary

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 NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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
Hyunju Nielsen, LCMFT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 731 Collett Dr, Blythewood, SC 29016
Phone: 443-453-2949    

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