Individual provider Active NPI

Jessica Joyce, M.A.

  • Clinical Psychologist
  • Bluffton, SC
National Provider Identifier
1023204377
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.1621 Issued in SC
Practice address
102 Buckwalter Pkwy Ste 3Uv
Bluffton, SC 29910-4132
Phone
(916) 878-6661
NPI assigned
Sep 20, 2007
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Psychologist 103TC0700X PSY.1621 SC Primary

Addresses

Primary practice location

102 Buckwalter Pkwy Ste 3Uv
Bluffton, SC 29910-4132

Mailing address

102 Buckwalter Pkwy # 3Uv
Bluffton, SC 29910-4132
Phone (916) 878-6661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200413003135 CA Practitioner - Clinical Psychologist 4385074491 Reassigns benefits to 1 organization
I20200601000679 SC Practitioner - Clinical Psychologist 4385074491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

23 Plantation Park Dr
Suite 202
Bluffton, SC 29910-6072
Phone (916) 735-6618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Counseling Associates of the Lowcountry, LLC Clinical CurrentSince May 28, 2020 Accepting new patients
Psychological and Counseling Center Single Specialty CurrentSince May 28, 2020 Accepting new patients
Sunrise Psychological Services Clinical Past Accepting new patients
Sunrise Psychological Services, PC Clinical PastSince Oct 13, 2019 Accepting new patients

Locations

102 Buckwalter Pkwy
#3
Bluffton, SC 29910
Phone (843) 290-6828

102 Buckwalter Pkwy
Ste 3U
Bluffton, SC 29910
Phone (843) 290-6828

102 Buckwalter Pkwy
Ste 3UV
Bluffton, SC 29910
Phone (843) 290-6828

23 Plantation Park Dr
Ste 202
Bluffton, SC 29910
Phone (843) 290-6828

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1023204377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BUCKWALTER PKWY # 3UV",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104132",
            "telephone_number": "916-878-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BUCKWALTER PKWY STE 3UV",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104132",
            "telephone_number": "916-878-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYCE",
        "first_name": "JESSICA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "PSY.1621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.