Individual provider Active NPI

Jason C Harshberger, BS

  • Professional Counselor
  • Rawlins, WY
National Provider Identifier
1093359259
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-2089 Issued in WY
Practice address
721 W Maple St
Rawlins, WY 82301-5447
Phone
(307) 324-7156
Fax
(307) 328-1651
NPI assigned
Oct 31, 2019
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 3

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20240103003670 WY Practitioner - Mental Health Counselor 0244681245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overcomer Counseling LLCGroup PAC ID 7517317688, 11 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
PPC-1231WYMDCounselor

Practice roles

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

Locations

265 N 4th St
Laramie, WY 82072
Phone (307) 240-9377

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

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

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, 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": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1093359259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1056",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823011056",
            "telephone_number": "307-324-7156",
            "fax_number": "307-328-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W MAPLE ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015447",
            "telephone_number": "307-324-7156",
            "fax_number": "307-328-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSHBERGER",
        "first_name": "JASON",
        "middle_name": "C",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-31",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-2089",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "PPC-1231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rawlins, WY

Sources for this page

Verify at the official NPI Registry.