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

Jessica Marie Southard

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215492624

Jessica Marie Southard is a Mental Health Counselor in Reidsville, North Carolina. Qualified in 2018, 8 years ago. Practices with Daymark Recovery Services Inc, a 129-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

335 County Home Rd
Reidsville, NC 27320-9694
Phone: (336) 342-8316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 405 Nc 65, Reidsville, NC 27320-8882 — (336) 342-8316

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 14633 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (NC)

Record details

NPI number1215492624
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 11, 2019
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Daymark Recovery Services Inc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Reidsville