Active NPI
Benjamin Britt Jarvis, LCMHCA
- Mental Health Counselor
- Hickory, NC
National Provider Identifier
1043896665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A15868
- Practice address
- 1053 13TH St SE
Hickory, NC 28602-4165 - Phone
- (704) 865-3525
- NPI assigned
- Mar 23, 2021
- Last updated
- Feb 2, 2022
- Sex
- Male
- 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 | A15868 | NC | Primary |
| Professional Counselor | 101YP2500X | A15868 | NC |
Addresses
Primary practice location
1053 13TH St SE
Hickory, NC 28602-4165
Mailing address
PO Box 4003
Gastonia, NC 28054-0041
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
| License | State | Type | Specialty |
|---|---|---|---|
| A15868 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Support Incorporated | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1043896665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4003",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 13TH ST SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024165",
"telephone_number": "704-865-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "BENJAMIN",
"middle_name": "BRITT",
"credential": "LCMHCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-23",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A15868",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A15868",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.