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MRS. TERRONDA LANAE JACKSON MA, LPCA
NPI 1992276810
Counselor in Blythewood, SC

Active since December 17, 2018PECOS EnrolledAccepts Medicare Assignment
140 HUNTERS RUN DR, BLYTHEWOOD, SC 29016(803) 814-7115 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Terronda Lanae Jackson Ma, Lpca NPPES

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

MRS. TERRONDA LANAE JACKSON MA, LPCA (NPI 1992276810) is an individual counselor in Blythewood, South Carolina, licensed in South Carolina (6574) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1992276810
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. TERRONDA LANAE JACKSONCredential: MA, LPCA
Location Address140 HUNTERS RUN DRBlythewood, SC 29016-9206
Mailing Address140 Hunters Run DrBlythewood, SC 29016-9206 · (302) 265-5993
Phone(803) 814-7115
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 17, 2018
✔ NPI 1992276810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in SC · 6574
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6574 (SC)
Also ListedCounselor · PastoralTaxonomy 101YP1600X · License 6574 (SC)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6574 (SC)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 6574 (SC)
140 HUNTERS RUN DR, Blythewood, SC 29016
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Other Identifiers 2

Other1045081474Tricare Prime
Other6574SC · Lpca

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Terronda Lanae Jackson Ma, 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 ID1658814355
PECOS Enrollment IDI20240624000068
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.

Other Providers at the Same Location NPPES

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

TRUE LIGHT COUNSELING AND CONSULTING
Counselor (Professional)
140 HUNTERS RUN DR
BLYTHEWOOD, SC 29016
Richland County (302) 265-5993

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 Terronda Jackson's NPI number?

The NPI number for Terronda Jackson is 1992276810. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Terronda Jackson located?

Terronda Jackson practices at 140 Hunters Run Dr, Blythewood, SC 29016. The listed phone number is (803) 814-7115.

What is Terronda Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Terronda Jackson enrolled in Medicare?

Yes. Terronda Jackson 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.

What insurance does Terronda Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas, Providence Health Plan and UnitedHealthcare list Terronda Jackson 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 Terronda Jackson was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.