Individual provider Active NPI

Ashlynn Monroe Jordan, SSP, LPES

  • School Psychologist
  • Anderson, SC
National Provider Identifier
1851725618
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
3297 Issued in SC
Practice address
400 Pearman Dairy Rd
Anderson, SC 29625-3100
Phone
(864) 260-5000
NPI assigned
Aug 29, 2013
Last updated
Aug 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 3297 SC Primary

Addresses

Primary practice location

400 Pearman Dairy Rd
Anderson, SC 29625-3100

Mailing address

202 Ansonborough
Belton, SC 29627-8277
Phone (843) 655-6609

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
3297SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson School District Five PastSince Oct 12, 2025 Accepting new patients
Anderson School District Five Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1851725618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ANSONBOROUGH",
            "city": "BELTON",
            "state": "SC",
            "postal_code": "296278277",
            "telephone_number": "843-655-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PEARMAN DAIRY RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296253100",
            "telephone_number": "864-260-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ASHLYNN",
        "middle_name": "MONROE",
        "name_prefix": "Mrs.",
        "credential": "SSP, LPES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "3297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.