Individual provider Active NPI

Jason King, LMHC

  • Mental Health Counselor
  • Jasper, IN
National Provider Identifier
1104392414
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003270A Issued in IN
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

Updated by the provider on Oct 15, 2018

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 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

LicenseStateTypeSpecialty
39003270AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.