Individual provider Active NPI

Jackquelyn Taylor Looney Ayscue, LMFT

  • Mental Health Counselor
  • Spartanburg, SC
National Provider Identifier
1508614660
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7017 Issued in SC
Practice address
1311 Flatwood Rd
Spartanburg, SC 29303-5407
Phone
(864) 542-4197
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7017 SC Primary

Addresses

Primary practice location

1311 Flatwood Rd
Spartanburg, SC 29303-5407

Mailing address

1311 Flatwood Rd
Spartanburg, SC 29303-5407
Phone (864) 542-4197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7017SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1508614660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 FLATWOOD RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293035407",
            "telephone_number": "864-542-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 FLATWOOD RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293035407",
            "telephone_number": "864-542-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOONEY AYSCUE",
        "first_name": "JACKQUELYN",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.