Active NPI
Jeffrey Franklin Hashberger
- Professional Counselor
- Elkhart, IN
National Provider Identifier
1194409235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 39004050A
- Practice address
- 401 W Bristol St
Elkhart, IN 46514-3019 - Phone
- (574) 328-8030
- Fax
- (574) 328-8033
- NPI assigned
- Jun 9, 2023
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 39004050A | IN | Primary |
Addresses
Primary practice location
401 W Bristol St
Elkhart, IN 46514-3019
Mailing address
26284 Cottage Ave
Elkhart, IN 46514-6330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 27, 2024 through Jan 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39004050A | IN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1194409235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26284 COTTAGE AVE",
"city": "ELKHART",
"state": "IN",
"postal_code": "465146330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W BRISTOL ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "465143019",
"telephone_number": "574-328-8030",
"fax_number": "574-328-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASHBERGER",
"first_name": "JEFFREY",
"middle_name": "FRANKLIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-09",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IN",
"license": "39004050A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.