Active NPI
Jason King, LMHC
- Mental Health Counselor
- Jasper, IN
National Provider Identifier
1104392414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39003270A
- Practice address
- 257 Brucke Strasse
Jasper, IN 47546-3400 - Phone
- (812) 481-2440
- NPI assigned
- Oct 15, 2018
- Sex
- Male
- 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 | 39003270A | IN | Primary |
Addresses
Primary practice location
257 Brucke Strasse
Jasper, IN 47546-3400
Mailing address
201 NW 4TH St Ste 107
Evansville, IN 47708-1356
Phone (812) 422-6812
Other practice location 1
201 NW 4th St Ste 107
Evansville, IN 47708-1356
Phone (812) 422-6812
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39003270A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Visions Counseling, LLC | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Evansville, IN
- NPI 1720559057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1104392414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 NW 4TH ST STE 107",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081356",
"telephone_number": "812-422-6812",
"fax_number": "812-288-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 BRUCKE STRASSE",
"city": "JASPER",
"state": "IN",
"postal_code": "475463400",
"telephone_number": "812-481-2440"
}
],
"practiceLocations": [
{
"address_1": "201 NW 4th St Ste 107",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477081356",
"country_code": "US",
"telephone_number": "812-422-6812",
"fax_number": "812-288-1113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "JASON",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-15",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39003270A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.