Individual provider Active NPI

Jolene Gervasi

  • Professional Counselor
  • Asheville, NC
National Provider Identifier
1073889440
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9275 Issued in NC
Practice address
370 N Louisiana Ave Ste A2
Asheville, NC 28806-3648
Phone
(828) 225-4980
Fax
(828) 225-4822
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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
Professional Counselor 101YP2500X 9275 NC Primary

Addresses

Primary practice location

370 N Louisiana Ave Ste A2
Asheville, NC 28806-3648

Mailing address

370 N Louisiana Ave Ste A2
Asheville, NC 28806-3648
Phone (828) 225-4980

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250425000215 NC Practitioner - Mental Health Counselor 6002332707 Practice locations: Morganton, NC; Asheville, NC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9275NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Care PLLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1073889440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N LOUISIANA AVE STE A2",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063648",
            "telephone_number": "828-225-4980",
            "fax_number": "828-225-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N LOUISIANA AVE STE A2",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063648",
            "telephone_number": "828-225-4980",
            "fax_number": "828-225-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVASI",
        "first_name": "JOLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.