Individual provider Active NPI

Jessica Boyd Jordan, ATR-P, LPC-A

  • Professional Counselor
  • Florence, SC
National Provider Identifier
1649097338
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10143 Issued in SC
Practice address
616 S Coit St
Florence, SC 29501-5223
Phone
(843) 674-0054
NPI assigned
Sep 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 24-693 SC
Professional Counselor 101YP2500X 10143 SC Primary

Addresses

Primary practice location

616 S Coit St
Florence, SC 29501-5223

Mailing address

2092 Harry Byrd Hwy
Darlington, SC 29532-6003
Phone (843) 639-1410

Other names 1

  • Jessica Nicole Boyd Former name

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
10143SCMDProfessional Counselor
24-693SCMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1649097338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2092 HARRY BYRD HWY",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295326003",
            "telephone_number": "843-639-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S COIT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015223",
            "telephone_number": "843-674-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JESSICA",
        "middle_name": "BOYD",
        "credential": "ATR-P, LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "SC",
            "license": "24-693",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "10143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BOYD",
            "middle_name": "NICOLE",
            "credential": "ART-P, LPC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.