Individual provider Active NPI

Jeremy Robert Rash, MA, LMHP-R

  • Mental Health Counselor
  • Vinton, VA
National Provider Identifier
1225797012
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704013877 Issued in VA
Practice address
1337 Hardy Rd Ste 17
Vinton, VA 24179-2261
Phone
(276) 245-6531
NPI assigned
Dec 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704013877 VA Primary

Addresses

Primary practice location

1337 Hardy Rd Ste 17
Vinton, VA 24179-2261

Mailing address

1337 Hardy Rd Ste 17
Vinton, VA 24179-2261
Phone (276) 245-6531

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0704013877VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1225797012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 HARDY RD STE 17",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241792261",
            "telephone_number": "276-245-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 HARDY RD STE 17",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241792261",
            "telephone_number": "276-245-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASH",
        "first_name": "JEREMY",
        "middle_name": "ROBERT",
        "credential": "MA, LMHP-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704013877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.