LESLIE NUCKOLLS LPC
NPI 1316445992
Counselor - Professional in Camden, SC

Active since January 29, 2018PECOS EnrolledAccepts Medicare Assignment
222 HACKAMORE LANE, CAMDEN, SC 29020(770) 845-6711 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Leslie Nuckolls Lpc NPPES

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

LESLIE NUCKOLLS LPC (NPI 1316445992) is an individual professional provider in Camden, South Carolina, licensed in Georgia (LPC009657) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1316445992
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLESLIE NUCKOLLSCredential: LPC
Location Address222 HACKAMORE LANECamden, SC 29020-1755
Mailing Address945 N Point DrAlpharetta, GA 30022-8266
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 29, 2018
Last NPPES UpdateJanuary 27, 2023
NPPES CertifiedAugust 8, 2022
✔ NPI 1316445992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC009657
222 HACKAMORE LANE, Camden, SC 29020

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leslie Nuckolls Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274982012
PECOS Enrollment IDI20231206000114
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Leslie Nuckolls reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
222 HACKAMORE LANE
Camden, SC 29020
  • Reassigned Medicare billing, Georgia enrollment
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Georgia enrollment
  • 159 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
222 HACKAMORE LANE
CAMDEN, SC 29020

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 Leslie Nuckolls's NPI number?

The NPI number for Leslie Nuckolls is 1316445992. It was assigned to this individual provider in the NPPES registry on January 29, 2018.

Where is Leslie Nuckolls located?

Leslie Nuckolls practices at 222 Hackamore Lane, Camden, SC 29020. The listed phone number is (770) 845-6711.

What is Leslie Nuckolls's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Leslie Nuckolls enrolled in Medicare?

Yes. Leslie Nuckolls is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Leslie Nuckolls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Nuckolls reassigns Medicare benefits to 2 organizations: Hillcrest Counseling LLC (Camden, SC) and Thrive Counseling LLC (Lynchburg, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leslie Nuckolls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leslie Nuckolls accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Leslie Nuckolls as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leslie Nuckolls was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.