Individual provider Active NPI

Jessie Westrick Starks, M.A.

  • Counselor
  • State College, PA
National Provider Identifier
1104222462
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC007852 Issued in PA
Practice address
1346 S Atherton St
State College, PA 16801-6203
Phone
(814) 826-1827
NPI assigned
Nov 14, 2014
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC007852 PA Primary

Addresses

Primary practice location

1346 S Atherton St
State College, PA 16801-6203

Mailing address

1346 S Atherton St
State College, PA 16801-6203
Phone (814) 826-1827

Other names 1

  • Jessie Jane Westrick Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260625003359 PA Practitioner - Mental Health Counselor 9032682513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Curious Path LLCGroup PAC ID 8426530411, 2 clinicians

Practice addresses (Care Compare)

1346 S Atherton St
State College, PA 16801-6203
Phone (814) 699-9139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC007852PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Sreedevi Komarneni Choices LLC 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, 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": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1104222462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 S ATHERTON ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016203",
            "telephone_number": "814-826-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 S ATHERTON ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016203",
            "telephone_number": "814-826-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKS",
        "first_name": "JESSIE",
        "middle_name": "WESTRICK",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC007852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "WESTRICK",
            "middle_name": "JANE",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.