Active NPI
Jeremy Barrett Bricker
- Mental Health Counselor
- Asheville, NC
National Provider Identifier
1114112638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8564
- Practice address
- 18 Regent Park Blvd Ste a
Asheville, NC 28806-3727 - Phone
- (828) 505-1762
- NPI assigned
- Sep 7, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 8564 | NC | Primary |
Addresses
Primary practice location
18 Regent Park Blvd Ste a
Asheville, NC 28806-3727
Mailing address
18 Regent Park Blvd Ste a
Asheville, NC 28806-3727
Phone (828) 505-1762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3410049 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8564 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1114112638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 REGENT PARK BLVD STE A",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288063727",
"telephone_number": "828-505-1762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 REGENT PARK BLVD STE A",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288063727",
"telephone_number": "828-505-1762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICKER",
"first_name": "JEREMY",
"middle_name": "BARRETT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-07",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3410049",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.