Individual provider Active NPI

Phyllis Jean Jarvinen, MA, LPA

  • Mental Health Counselor
  • Sylva, NC
National Provider Identifier
1093864217
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
935 Issued in NC
Practice address
98D Cope Creek Rd
Sylva, NC 28779-9508
Phone
(828) 586-6600
Fax
(828) 586-6601
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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 935 NC Primary

Addresses

Primary practice location

98D Cope Creek Rd
Sylva, NC 28779-9508

Mailing address

PO Box 728
Sylva, NC 28779-0728
Phone (828) 586-6600

Other identifiers 2

IdentifierTypeStateIssuer
6107341MedicaidNC
046UOOtherNCBCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
935NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Psychological Services Mental Health Past Accepting new patients
Jackson County Psychological Services PA Past Accepting new patients

Organizations & group practices 2

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1093864217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790728",
            "telephone_number": "828-586-6600",
            "fax_number": "828-586-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98D COPE CREEK RD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287799508",
            "telephone_number": "828-586-6600",
            "fax_number": "828-586-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVINEN",
        "first_name": "PHYLLIS",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MA, LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107341",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "046UO",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.