Jack L. Shortridge, ED.D.
NPI 1811103468ActiveIndividual· Psychologist, Counseling· N Charleston, SC
Psychologist, Counseling (ED.D.) in N Charleston, South Carolina, licensed in KY and SC, with an NPI issued in May 2007.
Overview
| NPI | 1811103468 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ED.D. |
| Sole proprietor | Yes |
| NPI issued | May 14, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | KY-178 | KY |
| Marriage & Family Therapist | 106H00000X | 1213 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
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