JESSICA LYN DEBOLT
NPI 1760150700
Counselor in West Columbia, SC
About Jessica Lyn Debolt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA LYN DEBOLT (NPI 1760150700) is an individual counselor in West Columbia, South Carolina, licensed in South Carolina (7738) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica Lyn Debolt 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jessica Debolt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lexington, SC 29072
- Reassigned Medicare billing, South Carolina enrollment
- 236 clinicians in this Medicare group
Mount Pleasant, SC 29464
- Reassigned Medicare billing, South Carolina enrollment
- 285 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
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 Debolt's NPI number?
The NPI number for Jessica Debolt is 1760150700. It was assigned to this individual provider in the NPPES registry on September 3, 2021.
Where is Jessica Debolt located?
Jessica Debolt practices at 3969 Southeastern Way, West Columbia, SC 29169. The listed phone number is (803) 851-4049.
What is Jessica Debolt's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Jessica Debolt enrolled in Medicare?
Yes. Jessica Debolt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jessica Debolt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Debolt reassigns Medicare benefits to 2 organizations: South Carolina Dept Of Mental Health Accounting Office (Lexington, SC) and Charleston Counseling Center PC (Mount Pleasant, 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 Debolt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Debolt accept?
Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Jessica Debolt 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 Debolt was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Jessica Lyn Debolt · NPI 1760150700
Counselor provider in West Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since September 3, 2021.
## Identity
- **NPI:** 1760150700 (Entity type: Individual)
- **Enumerated:** September 3, 2021
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **State license:** 7738 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3969 SOUTHEASTERN WAY, West Columbia, SC 29169-2442
- **Phone:** (803) 851-4049
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): South Carolina Dept Of Mental Health Accounting Office (NPI 1841374972, Lexington, SC); Charleston Counseling Center PC (NPI 1316375678, Mount Pleasant, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760150700) · Data from the CMS NPPES public registry.