Individual provider Active NPI

Kasey Jarvis, LMFT

  • Mental Health Counselor
  • King of Prussia, PA
National Provider Identifier
1003497843
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MF001249 Issued in PA
Practice address
901 E 8TH Ave Ste 207
King of Prussia, PA 19406-1354
Phone
(610) 216-3536
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MF001249 PA Primary

Addresses

Primary practice location

901 E 8TH Ave Ste 207
King of Prussia, PA 19406-1354

Mailing address

990 Fernhill Rd Unit 640
West Chester, PA 19380-4288

Other practice location 1

990 Fernhill Rd Unit 640
West Chester, PA 19380-4288
Phone (610) 216-3536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MF001249PAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1003497843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 FERNHILL RD UNIT 640",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 8TH AVE STE 207",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061354",
            "telephone_number": "610-216-3536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Fernhill Rd Unit 640",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193804288",
            "country_code": "US",
            "telephone_number": "610-216-3536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "KASEY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "MF001249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.