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MYESHA MICKENS LPCA
NPI 1609543578
Counselor - Mental Health in Lexington, SC

Active since August 27, 2021PECOS EnrolledAccepts Medicare Assignment
108 PALMETTO PARK BLVD STE D, LEXINGTON, SC 29072(803) 996-1500 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2022, Sep 18, 2021, Aug 27, 2021 (3 updates tracked since 2021).

About Myesha Mickens Lpca NPPES

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

MYESHA MICKENS LPCA (NPI 1609543578) is an individual mental health provider in Lexington, South Carolina and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609543578
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMYESHA MICKENSCredential: LPCA
Location Address108 PALMETTO PARK BLVD STE DLexington, SC 29072-7969
Mailing Address108 Palmetto Park Blvd Ste DLexington, SC 29072-7969 · (803) 996-1500
Phone(803) 996-1500
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 27, 2021
Last NPPES UpdateApril 21, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
✔ NPI 1609543578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
108 PALMETTO PARK BLVD STE D, Lexington, SC 29072
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Secondary Practice Location 1

Location 14201 N Main StColumbia, SC 29203-5863 · Phone (803) 814-5573

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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

Myesha Mickens Lpca 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 ID2668906561
PECOS Enrollment IDI20241114003527
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 Reassignment

Medicare enrollment records show Myesha Mickens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Carolina Dept Of Mental Health Accounting Office
0.2 mi
Mental Health (Including Community Mental Health Center)
301 PALMETTO PARK BLVD
Lexington, SC 29072
  • Reassigned Medicare billing, South Carolina enrollment
  • 236 clinicians in this Medicare group
NPI 1841374972 (803) 996-1500

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 20

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

MISS BODEQUIA SIMON LMSW
Counselor (Mental Health)
108 PALMETTO PARK BLVD STE D
LEXINGTON, SC 29072
Lexington County (803) 996-1500
RILEY DANIELLE GOLDSTEIN
Counselor (Mental Health)
108 PALMETTO PARK BLVD STE D
LEXINGTON, SC 29072
Lexington County (803) 996-1500
STEPHANIE BONNETT LPC-A
Counselor (Mental Health)
108 PALMETTO PARK BLVD STE D
LEXINGTON, SC 29072
Lexington County (803) 996-1500
ELIZABETH RUMMEL LISW-CP
Social Worker (Clinical)
108 PALMETTO PARK BLVD STE D
LEXINGTON, SC 29072
Lexington County (803) 834-0790
MS. TARYN E KEARSE-JAMISON
Counselor (Mental Health)
108 PALMETTO PARK BLVD STE D
LEXINGTON, SC 29072
Lexington County (803) 399-1500
KABRIA DRUMMOND LPC
Counselor (Professional)
108 PALMETTO PARK BLVD STE D
LEXINGTON, SC 29072
Lexington County (803) 996-1500
ISAAC SEYMOUR LPC/I
Counselor
108 PALMETTO PARK BLVD STE D
LEXINGTON, SC 29072
Lexington County (803) 996-1500
BRITTANY L HARRISON LPC-A
Counselor (Mental Health)
108 PALMETTO PARK BLVD STE D
LEXINGTON, SC 29072
Lexington County (803) 447-5387

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 Myesha Mickens's NPI number?

The NPI number for Myesha Mickens is 1609543578. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Myesha Mickens located?

Myesha Mickens practices at 108 Palmetto Park Blvd Ste D, Lexington, SC 29072. The listed phone number is (803) 996-1500.

What is Myesha Mickens's specialty?

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

Is Myesha Mickens enrolled in Medicare?

Yes. Myesha Mickens 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 organization bills Medicare for Myesha Mickens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Myesha Mickens reassigns Medicare benefits to South Carolina Dept Of Mental Health Accounting Office (Lexington, SC). The 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 Myesha Mickens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Myesha Mickens accept?

Health plans from BlueCross BlueShield of South Carolina list Myesha Mickens 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 Myesha Mickens was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.