DR. JACK L SHORTRIDGE ED.D.
NPI 1811103468
Psychologist - Counseling in N Charleston, SC

Active since May 14, 2007
5300 INTERNATIONAL BLVD, WEBSTER UNIVERSITY, N CHARLESTON, SC 29418(843) 760-1324(843) 760-1153 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Jack L Shortridge Ed.d. NPPES

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

DR. JACK L SHORTRIDGE ED.D. (NPI 1811103468) is an individual counseling provider in N Charleston, South Carolina, licensed in Kentucky (KY-178) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1811103468
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameDR. JACK L SHORTRIDGECredential: ED.D.
Location Address5300 INTERNATIONAL BLVD, WEBSTER UNIVERSITYN Charleston, SC 29418-6937
Mailing Address104 W Shepard LnSummerville, SC 29483-4242 · (843) 821-0323
Fax(843) 760-1153
Sole ProprietorYes
Enumeration DateMay 14, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1811103468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License✔ Licensed in KY · KY-178
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 1213 (SC)

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 Jack Shortridge's NPI number?

The NPI number for Jack Shortridge is 1811103468. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Jack Shortridge located?

Jack Shortridge practices at 5300 International Blvd Webster University, N Charleston, SC 29418. The listed phone number is (843) 760-1324.

What is Jack Shortridge's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

When was this NPI record last updated?

The NPPES record for Jack Shortridge was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.