Individual provider Active NPI

Jessica Lea Cosby, MA LPC RPT-S

  • Professional Counselor
  • Clarion, PA
National Provider Identifier
1124230149
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC003523 Issued in PA
Practice address
240 Liberty St
Liberty Street Counseling Center
Clarion, PA 16214-1829
Phone
(814) 316-5491
Fax
(814) 226-5329
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC003523 PA Primary

Addresses

Primary practice location

240 Liberty St
Liberty Street Counseling Center
Clarion, PA 16214-1829

Mailing address

315 Liberty Street
Clarion, PA 16214-1829
Phone (814) 316-5491

Other names 1

  • Ms. Jessica Lea Kropp Former name

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
Credentials
Master of Arts

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1124230149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 LIBERTY STREET",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141829",
            "telephone_number": "814-316-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LIBERTY ST",
            "address_2": "LIBERTY STREET COUNSELING CENTER",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141829",
            "telephone_number": "814-316-5491",
            "fax_number": "814-226-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSBY",
        "first_name": "JESSICA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "MA LPC RPT-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KROPP",
            "middle_name": "LEA",
            "prefix": "MS.",
            "credential": "MA LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.