Provider Demographics
NPI:1003875519
Name:ELKINS, JENNIFER F (LPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:F
Last Name:ELKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:FERGUSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:887 NE MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-2041
Mailing Address - Country:US
Mailing Address - Phone:843-615-2770
Mailing Address - Fax:864-228-7247
Practice Address - Street 1:2135 HOFFMEYER RD STE B
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4087
Practice Address - Country:US
Practice Address - Phone:843-661-6030
Practice Address - Fax:843-679-2633
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4156101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC1016Medicaid
SCGP5471Medicaid