Individual provider Active NPI

C Jessica Hersch, LCSW LMFT ACSW

  • Clinical Social Worker
  • Bloomington, IN
National Provider Identifier
1205810306
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34002313 Issued in IN
Practice address
115 N College Ave Ste 113
Bloomington, IN 47404-3933
Phone
(812) 332-8814
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34002313 IN Primary
Mental Health Counselor 101YM0800X 34002313 IN
Marriage & Family Therapist 106H00000X 35001129 IN

Addresses

Primary practice location

115 N College Ave Ste 113
Bloomington, IN 47404-3933

Mailing address

115 N College Ave Ste 113
Bloomington, IN 47404-3933
Phone (812) 327-9209

Other names 1

  • Jessica Hersch Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34002313INMDClinical Social Worker
35001129INMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Indiana, Inc. Past Accepting new patients
Centerstone of Indiana, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1205810306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N COLLEGE AVE STE 113",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043933",
            "telephone_number": "812-327-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N COLLEGE AVE STE 113",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043933",
            "telephone_number": "812-332-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCH",
        "first_name": "C JESSICA",
        "credential": "LCSW LMFT ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34002313",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34002313",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001129",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HERSCH",
            "credential": "LCSW LMFT ACSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.