MRS. SHANTA AVALICE JERIDEAU LPC
NPI 1316290901
Counselor - Mental Health in Columbia, SC

Active since October 19, 2012
200 SPRINGTREE DR STE 200, COLUMBIA, SC 29223(803) 722-4975(803) 722-6018 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Shanta Avalice Jerideau Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANTA AVALICE JERIDEAU LPC (NPI 1316290901) is an individual mental health provider in Columbia, South Carolina and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1316290901
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SHANTA AVALICE JERIDEAUCredential: LPC
Location Address200 SPRINGTREE DR STE 200Columbia, SC 29223-8614
Mailing Address200 Springtree Dr Ste 200Columbia, SC 29223-8614 · (803) 722-4975 · Fax (803) 722-6018
Fax(803) 722-6018
Sole ProprietorYes
Enumeration DateOctober 19, 2012
Last NPPES UpdateNovember 3, 2020
NPPES CertifiedSeptember 30, 2020
NPI 1316290901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
200 SPRINGTREE DR STE 200, Columbia, SC 29223

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
200 SPRINGTREE DR STE 200
COLUMBIA, SC 29223
Counselor (Professional)
200 SPRINGTREE DR STE 200
COLUMBIA, SC 29223
Social Worker (Clinical)
200 SPRINGTREE DR STE 200
COLUMBIA, SC 29223
Community/Behavioral Health
200 SPRINGTREE DR STE 200
COLUMBIA, SC 29223
Social Worker (Clinical)
200 SPRINGTREE DR STE 200
COLUMBIA, SC 29223
Counselor (Professional)
200 SPRINGTREE DR STE 200
COLUMBIA, SC 29223
Counselor (Professional)
200 SPRINGTREE DR STE 200
COLUMBIA, SC 29223
Counselor (Professional)
200 SPRINGTREE DR STE 200
COLUMBIA, SC 29223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanta Jerideau's NPI number?

The NPI number for Shanta Jerideau is 1316290901. It was assigned to this individual provider in the NPPES registry on October 19, 2012.

Where is Shanta Jerideau located?

Shanta Jerideau practices at 200 Springtree Dr Ste 200, Columbia, SC 29223. The listed phone number is (803) 722-4975.

What is Shanta Jerideau's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shanta Jerideau was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.