Individual provider Active NPI

Jeralyn Renee Tharp, LPCC-S LICDC

  • Professional Counselor
  • Huber Heights, OH
National Provider Identifier
1073848750
Registry record updated Sep 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1800797 Issued in OH
Practice address
8139 Old Troy Pike # 1031
Huber Heights, OH 45424-1067
Phone
(850) 889-2880
Fax
(937) 962-6210
NPI assigned
Oct 13, 2009
Last updated
Sep 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.1800797 OH
Professional Counselor 101YP2500X E.1800797 OH Primary

Addresses

Primary practice location

8139 Old Troy Pike # 1031
Huber Heights, OH 45424-1067

Mailing address

8139 Old Troy Pike # 1031
Huber Heights, OH 45424-1067
Phone (850) 889-2880

Other practice location 1

2000 Park St # 1597
Columbia, SC 29201-2011
Phone (850) 889-2880

Other practice location 2

11806 Bruce B Downs Blvd # 1100
Tampa, FL 33612-5542
Phone (850) 889-2880

Other practice location 3

2186 Jackson Keller Rd Ste 2223
San Antonio, TX 78213-2723
Phone (850) 889-2880

Other practice location 4

5568 Woodbine Rd # 1027
Pace, FL 32571-8766
Phone (850) 889-2880

Other identifiers 3

IdentifierTypeStateIssuer
G0332295OtherOHMEDICAID
G0332295MedicaidOH
0310025OtherOHMEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250910004833 FL Practitioner - Mental Health Counselor 5890298459 Reassigns benefits to 1 organization
I20250915001894 OH Practitioner - Mental Health Counselor 5890298459 Reassigns benefits to 1 organization
I20250916000379 TX Practitioner - Mental Health Counselor 5890298459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1800797OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Fighters Therapy, LLC Mental Health CurrentSince Oct 1, 2022 Accepting new patients
Freedom Fighters Therapy LLC Mental Health Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 5, 2025 Accepting new patients
Freedom Fighters Therapy, LLC Professional Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

5568 Woodbine Rd
Pace, FL 32571
Phone (828) 205-4233

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

12 W Wenger Rd
Ste S
Englewood, OH 45322
Phone (937) 540-0202

8139 Old Troy Pike
Huber Heights, OH 45424
Phone (850) 889-2880

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

2186 Jackson Keller Rd
San Antonio, TX 78213
Phone (210) 446-9552

2186 Jackson Keller Rd
Ste 2186
San Antonio, TX 78213

Organizations & group practices 4

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": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790380800000",
    "number": "1073848750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8139 OLD TROY PIKE # 1031",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241067",
            "telephone_number": "850-889-2880",
            "fax_number": "937-962-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8139 OLD TROY PIKE # 1031",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241067",
            "telephone_number": "850-889-2880",
            "fax_number": "937-962-6210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Park St # 1597",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012011",
            "country_code": "US",
            "telephone_number": "850-889-2880",
            "fax_number": "937-962-6210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11806 Bruce B Downs Blvd # 1100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336125542",
            "country_code": "US",
            "telephone_number": "850-889-2880",
            "fax_number": "937-962-6210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2186 Jackson Keller Rd Ste 2223",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782132723",
            "country_code": "US",
            "telephone_number": "850-889-2880",
            "fax_number": "937-962-6210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5568 Woodbine Rd # 1027",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "325718766",
            "country_code": "US",
            "telephone_number": "850-889-2880",
            "fax_number": "937-962-6210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THARP",
        "first_name": "JERALYN",
        "middle_name": "RENEE",
        "credential": "LPCC-S LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1800797",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "G0332295",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G0332295",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0310025",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

Verify at the official NPI Registry.