Individual provider Active NPI

Jessica Rose Alger-Shook

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1093428146
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A18278 Issued in NC
Practice address
1451 S Elm Eugene St
Greensboro, NC 27406-2200
Phone
(704) 349-3789
NPI assigned
Jan 4, 2023
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A18278 NC Primary

Addresses

Primary practice location

1451 S Elm Eugene St
Greensboro, NC 27406-2200

Mailing address

1906 N Holden Rd
Greensboro, NC 27408-3924
Phone (954) 205-8582

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://ehr.icanotes.com Health Information Exchange (HIE) Steps Toward Success,PLLC

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
I20260430004208 NC Practitioner - Mental Health Counselor 8820565492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 25016
Dallas, TX 75225

PO Box
Suite 25016
Dallas, TX 75225-1016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A18278NCMDMental Health Counselor

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, 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": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1093428146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 N HOLDEN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083924",
            "telephone_number": "954-205-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 S ELM EUGENE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274062200",
            "telephone_number": "704-349-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALGER-SHOOK",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ehr.icanotes.com",
            "affiliation": "Y",
            "endpointDescription": "EHR contact for clients in secure portal",
            "affiliationName": "Steps Toward Success,PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure messaging",
            "address_1": "1451 S Elm Eugene St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274062200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.