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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PPC-1231 | WY | MD | Counselor |
| LPC-2089 | WY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Country Behavioral Health | Current |
Accepting new patients | |
| High Country Behavioral Health | Current |
Accepting new patients | |
| High Country Behavioral Health | Current |
Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients | |
| Overcomer Counseling LLC | Professional | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Jeremiah James Hall
- Lauren M. Hall
- Harbans Hans, MD, Inc.
- Jeffrey P Harris
- Megan Harris
- Stephen Leslie Hays
- Daniel Henson
- High Country Behavioral Health
- High Country Behavioral Health
- High Country Behavioral Health
All providers in Rawlins, WY · Professional Counselor in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.