Jason C Harshberger, BS

Individual provider Active NPI Professional Counselor · Rawlins, WY

NPI 1093359259 · NPPES record last updated Sep 30, 2022

Key facts

NPI
1093359259
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC-2089 (WY)
Practice address
721 W Maple St
Rawlins, WY 82301-5447
Phone
(307) 324-7156
Fax
(307) 328-1651
NPI assigned
Oct 31, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overcomer Counseling LLC (11 clinicians)

Practice addresses (Care Compare)

265 N 4TH St
Laramie, WY 82072-3131
Phone (307) 399-0791

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240103003670 WY Practitioner - Mental Health Counselor 0244681245 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
PPC-1231WYMDCounselor
LPC-2089WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Behavioral Health Current
since Aug 28, 2021
Accepting new patients
High Country Behavioral Health Current
since Jan 1, 2024
Accepting new patients
High Country Behavioral Health Current
since Jan 1, 2024
Accepting new patients
High Country Behavioral Health Current Accepting new patients
Overcomer Counseling LLC Professional Current
since Jan 1, 2024
Accepting new patients

Locations

265 N 4th St
Laramie, WY 82072
Phone (307) 214-3535

721 W Maple St
Rawlins, WY 82301
Phone (307) 324-7156

121 S 4th St
Thermopolis, WY 82443
Phone (307) 864-3138

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X LPC-2089 WY Yes
Counselor 101Y00000X PPC-1231 WY

Addresses

Primary practice location

721 W Maple St
Rawlins, WY 82301-5447

Mailing address

PO Box 1056
Rawlins, WY 82301-1056
Phone (307) 324-7156

Other providers in Rawlins, WY

All providers in Rawlins, WY · Professional Counselor in Wyoming

Sources for this page

Verify at the official NPI Registry.