Jennifer Anne Mobley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8038 Issued in SC

Practice address

2309 Devine St Ste B
Columbia, SC 29205-2423

Phone

(602) 930-7383

NPI assigned

Jan 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• South Carolina Professional Counseling and Art Therapy LLC

  • Professional Counselor
  • Columbia, SC
  • NPI 1457079469
  NPD Authorized official

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1952991622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MAPLE ST APT A104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051747",
            "telephone_number": "602-930-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 DEVINE ST STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052423",
            "telephone_number": "602-930-7383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 E Whitton Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850145065",
            "country_code": "US",
            "telephone_number": "602-930-7383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-19093",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "AZ",
            "license": "18-106",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Healthcare Services LLC.
• Mobile Podiatry South Carolina
• Mobile Radiology & Ekg of Carolina, Inc.
• Mobile Tech, LLC
• Carly Dorothy Mobley, MD
• Pat Mobley, LDO, ABOC, NCLEC
• Rachel Elizabeth Mobley
• Kathryn S Mock, FNP
• Maria Hope Mayor Modesto, M.D.
• Joseph Robert Modzelewski, M.D.

• Professional Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.