Individual provider Active NPI

Rickia Jessup-Clowney

  • Professional Counselor
  • Spartanburg, SC
National Provider Identifier
1639850654
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10694 Issued in SC
Practice address
101 N Pine St Ste 210
Spartanburg, SC 29302-1604
Phone
(864) 529-6231
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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 10694 SC Primary

Addresses

Primary practice location

101 N Pine St Ste 210
Spartanburg, SC 29302-1604

Mailing address

101 N Pine St Ste 210
Spartanburg, SC 29302-1604
Phone (864) 210-3115

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
10694SCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1639850654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N PINE ST STE 210",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021604",
            "telephone_number": "864-210-3115",
            "fax_number": "864-406-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N PINE ST STE 210",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021604",
            "telephone_number": "864-529-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSUP-CLOWNEY",
        "first_name": "RICKIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "10694",
            "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 7, 2026; 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.