Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Green, LPC

Individual provider Mental Health Counselor · NPI 1104221811

Jessica Green, LPC is a Mental Health Counselor in Hartsville, South Carolina. Qualified in 2010, 16 years ago. Practices with Caresouth Carolina Inc, a 66-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
16
Licensed in
SC
In the registry since
2014
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1268 S 4th St
Hartsville, SC 29550-0703
Phone: (843) 332-3422
Fax: (843) 332-3985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6910 (SC)

Record details

NPI number1104221811
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 24, 2014
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Caresouth Carolina Inc. — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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