DR. JESSICA PENA PH.D. M.S. MED LPCS
NPI 1578807749
Counselor - Professional in Camden, SC

Active since November 12, 2012PECOS Enrolled
414 LAURENS ST, CAMDEN, SC 29020(803) 369-4170 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Jessica Pena Ph.d. M.s. Med Lpcs NPPES

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

DR. JESSICA PENA PH.D. M.S. MED LPCS (NPI 1578807749) is an individual professional provider in Camden, South Carolina, licensed in South Carolina (5726) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578807749
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. JESSICA PENACredential: PH.D. M.S. MED LPCS
Location Address414 LAURENS STCamden, SC 29020-3607
Mailing Address414 Laurens StCamden, SC 29020-3607 · (803) 369-4170
Sole ProprietorYes
Enumeration DateNovember 12, 2012
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
✔ NPI 1578807749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 5726
Also ListedPsychologistTaxonomy 103T00000X · License 5726 (SC)
414 LAURENS ST, Camden, SC 29020

Other Identifiers 3

MedicaidPS1420SC
Other5723SC · Lp
Other5726SC · Sc

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Pena Ph.d. M.s. Med Lpcs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Pena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
115 ATRIUM WAY STE 118
Columbia, SC 29223
  • Reassigned Medicare billing, South Carolina enrollment
Mental Health
386 SAINT ANDREWS RD, SUITE 102
Columbia, SC 29210
  • Reassigned Medicare billing, South Carolina enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
414 LAURENS ST
CAMDEN, SC 29020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Pena's NPI number?

The NPI number for Jessica Pena is 1578807749. It was assigned to this individual provider in the NPPES registry on November 12, 2012.

Where is Jessica Pena located?

Jessica Pena practices at 414 Laurens St, Camden, SC 29020. The listed phone number is (803) 369-4170.

What is Jessica Pena's specialty?

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

Is Jessica Pena enrolled in Medicare?

Yes. Jessica Pena is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Pena reassigns Medicare benefits to 2 organizations: Helping Hands Counseling Services Inc (Columbia, SC) and Hillcrest Behavioral Health (Columbia, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Pena accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Jessica Pena as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Pena was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.