Jessica Kay Rexrode, LPC/A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8517 Issued in SC

Practice address

6334 Saint Andrews Rd Ste 103
Columbia, SC 29212-3143

Phone

(803) 834-9238

NPI assigned

May 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1710677067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 SAINT ANDREWS RD STE 103",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123143",
            "telephone_number": "803-834-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 SAINT ANDREWS RD STE 103",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123143",
            "telephone_number": "803-834-9238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "879 White Pond Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "SC",
            "postal_code": "290459427",
            "country_code": "US",
            "telephone_number": "803-764-0961",
            "fax_number": "803-764-4089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REXRODE",
        "first_name": "JESSICA",
        "middle_name": "KAY",
        "credential": "LPC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "8517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.