Active NPI
Jessica Stevens-Eddy, MA, LPCA, CDCA
- Professional Counselor
- Columbia, SC
National Provider Identifier
1619633880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6222
- Practice address
- 1 Windsor CV Ste 301
Columbia, SC 29223-1833 - Phone
- (803) 931-3462
- NPI assigned
- Nov 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6222 | SC | Primary |
Addresses
Primary practice location
1 Windsor CV Ste 301
Columbia, SC 29223-1833
Mailing address
1372 E Orange Rd
Lewis Center, OH 43035-9502
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1619633880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1372 E ORANGE RD",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430359502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WINDSOR CV STE 301",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292231833",
"telephone_number": "803-931-3462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS-EDDY",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "MA, LPCA, CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.