Active NPI
Jessie S. Hartman, M.S.W
- Mental Health Counselor
- Williamsport, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- Diakon Family Life Services
435 W. Fourth Street
Williamsport, PA 17701 - Phone
- (570) 322-7873
- Fax
- (570) 322-8026
- NPI assigned
- May 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
Diakon Family Life Services
435 W. Fourth Street
Williamsport, PA 17701
Mailing address
Diakon Family Life Services
1800 W. Market Street
Lewisburg, PA 17837
Phone (570) 524-9477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007777400036 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 Scott Town Ctr
Suite 1012
Bloomsburg, PA 17815-2356
Phone (570) 317-2999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Tree Wellness & Counseling, LLC | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients |
Locations
1005 Scott Town Ctr
Bloomsburg, PA 17815
Phone (570) 317-2999
100 N Academy Ave
Danville, PA 17822
410 Mill St
Orangeville, PA 17859
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Bloomsburg, PA
- NPI 1649521584
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Family Medicine Physician
- Peckville, PA
- NPI 1528475100
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1104051671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DIAKON FAMILY LIFE SERVICES",
"address_2": "1800 W. MARKET STREET",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "17837",
"telephone_number": "570-524-9477",
"fax_number": "570-924-9492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DIAKON FAMILY LIFE SERVICES",
"address_2": "435 W. FOURTH STREET",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "17701",
"telephone_number": "570-322-7873",
"fax_number": "570-322-8026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "JESSIE",
"middle_name": "S.",
"credential": "M.S.W",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-27",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007777400036",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.