MRS. JESSICA ELIZABETH ROMAN LPC
NPI 1164963054
Counselor - Professional in Pawleys Island, SC

Q: What is Jessica Roman's NPI number?

The NPI number for Jessica Roman is 1164963054. It was assigned to this individual provider in the NPPES registry on March 13, 2017.

Q: What is Jessica Roman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Roman was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 13, 2017PECOS EnrolledAccepts Medicare Assignment

14323 OCEAN HWY UNIT 4103, PAWLEYS ISLAND, SC 29585(843) 779-2264(866) 580-4842 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2019, Oct 10, 2018, Mar 13, 2017 (3 updates tracked since 2017).

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About Mrs. Jessica Elizabeth Roman Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JESSICA ELIZABETH ROMAN LPC (NPI 1164963054) is an individual professional provider in Pawleys Island, South Carolina, licensed in South Carolina (6893) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164963054

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. JESSICA ELIZABETH ROMANCredential: LPC

Location Address14323 OCEAN HWY UNIT 4103Pawleys Island, SC 29585-4817

Mailing Address235 Linden CirPawleys Island, SC 29585-8046 · (843) 779-2264 · Fax (843) 628-2433

Phone(843) 779-2264

Fax(866) 580-4842

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 13, 2017

Last NPPES UpdateAugust 16, 20193 updates tracked since enumeration

✔ NPI 1164963054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in SC · 6893

14323 OCEAN HWY UNIT 4103, Pawleys Island, SC 29585

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jessica Elizabeth Roman Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739524513

PECOS Enrollment IDI20240303000057

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHANNON GARLOCK DAVIS MA, LPC

Counselor (Professional)