Jessica L Glynn

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

3019 Red Bark Dr
Conway, SC 29526-1313

Phone

(631) 513-5712

NPI assigned

Mar 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jessica L Long Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1881196673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 RED BARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295261313",
            "telephone_number": "631-513-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 RED BARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295261313",
            "telephone_number": "631-513-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "JESSICA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LONG",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "LMFT-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Gilchrist
• Pamela Michelle Gilmore, APRN
• Nicholina Gioiosa
• Judi Giordano, RD, LD
• Cicely Glasgow
• Jason Gnau
• Susan Marie Gniadek, APRN
• Glenda Goff
• Judy Goff, RN
• Joshua Anthony Goins, PHARMD

• Marriage & Family Therapist in Conway, SC
• Providers in Conway, SC by specialty
• Marriage & Family Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.