Individual provider Active NPI

Jessica Stevens-Eddy, MA, LPCA, CDCA

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1619633880
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6222 Issued in SC
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

Updated by the provider on Nov 12, 2021

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 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.

Verify at the official NPI Registry.