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

Jessica Lyn Debolt

Individual provider Counselor · NPI 1760150700

Jessica Lyn Debolt is a Mental Health Counselor in West Columbia, South Carolina. Qualified in 2021, 5 years ago. Practices with South Carolina Dept of Mental Health Accounting Office, a 231-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2021
Specialties on file
2

Practice location Address checks out

3969 Southeastern Way
West Columbia, SC 29169-2442
Phone: (803) 851-4049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 7738 (SC)
Professional Counselor Taxonomy 101YP2500X · Licence 9089 (SC)

Record details

NPI number1760150700
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 3, 2021
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice South Carolina Dept Of Mental Health Accounting Office — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in West Columbia