Active NPI
C Jessica Hersch, LCSW LMFT ACSW
- Clinical Social Worker
- Bloomington, IN
National Provider Identifier
1205810306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34002313
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002313 | IN | MD | Clinical Social Worker |
| 35001129 | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomington, IN
- NPI 1972320224
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomington, IN
- NPI 1992781470
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.