Individual provider Active NPI

Jacklyn Lowery, M.A., LPC

  • Professional Counselor
  • Lynchburg, SC
National Provider Identifier
1043614993
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6371 Issued in SC
Practice address
5243 McKnight Road
Lynchburg, SC 29080
Phone
(803) 437-7204
NPI assigned
Oct 21, 2014
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6371 SC Primary

Addresses

Primary practice location

5243 McKnight Road
Lynchburg, SC 29080

Mailing address

5243 McKnight Road
Lynchburg, SC 29080
Phone (803) 437-7204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241023000346 SC Practitioner - Mental Health Counselor 9335672856 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 19, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 19, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients

Locations

125 E Cheves St
Florence, SC 29506
Phone (843) 317-4073

900 S 4th St
Hartsville, SC 29550
Phone (843) 332-4141

Organizations & group practices 3

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": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1043614993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5243 MCKNIGHT ROAD",
            "city": "LYNCHBURG",
            "state": "SC",
            "postal_code": "29080",
            "telephone_number": "803-437-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5243 MCKNIGHT ROAD",
            "city": "LYNCHBURG",
            "state": "SC",
            "postal_code": "29080",
            "telephone_number": "803-437-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "JACKLYN",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, SC

Sources for this page

Verify at the official NPI Registry.