Active NPI
Jessica Elizabeth Whittington, LCSW
- Mental Health Counselor
- New Bern, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CO14896
- Practice address
- 3402 Trent Rd
New Bern, NC 28562-2232 - Phone
- (209) 445-4369
- Fax
- (252) 634-9332
- NPI assigned
- Jan 16, 2013
- Last updated
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW94934 | CA | |
| Mental Health Counselor | 101YM0800X | CO14896 | NC | Primary |
Addresses
Primary practice location
3402 Trent Rd
New Bern, NC 28562-2232
Mailing address
213 Lynden LN
New Bern, NC 28560-8556
Phone (209) 445-4369
Other practice location 1
213 Lynden Ln
New Bern, NC 28560-8556
Phone (209) 445-4369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2407 Grace Ave
New Bern, NC 28562-4416
Phone (252) 514-7766
3402 Trent Rd
New Bern, NC 28562-2232
Phone (252) 571-6508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW94934 | CA | MD | Mental Health Counselor |
| CO14896 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Source Therapy, PLLC | Mental Health | Current | Accepting new patients |
| Telecare Corporation | Past | Accepting new patients | |
| A Fresh Start Behavioral Health Services, PLLC | Past | Accepting new patients |
Locations
3402 Trent Rd
New Bern, NC 28562
Phone (252) 571-6508
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Inner Source Therapy
- Mental Health Counselor
- New Bern, NC
- NPI 1831867175
-
- Clinical Social Worker
- New Bern, NC
- NPI 1710499223
-
- Psychiatric Residential Treatment Facility
- Stockton, CA
- NPI 1497099915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1003154634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 LYNDEN LN",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285608556",
"telephone_number": "209-445-4369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 TRENT RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285622232",
"telephone_number": "209-445-4369",
"fax_number": "252-634-9332"
}
],
"practiceLocations": [
{
"address_1": "213 Lynden Ln",
"address_purpose": "LOCATION",
"city": "New Bern",
"state": "NC",
"postal_code": "285608556",
"country_code": "US",
"telephone_number": "209-445-4369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITTINGTON",
"first_name": "JESSICA",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCSW94934",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "CO14896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.