Organization Active NPI

Jasper Therapy Group LLC

  • Mental Health Counselor
  • Ridgeland, SC
National Provider Identifier
1285588780
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JASPER THERAPY GROUP LLC
Practice address
10616 S Jacob Smart Blvd Ste 103
Ridgeland, SC 29936-8478
Phone
(843) 310-1743
NPI assigned
Feb 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Kati Pitre, LPCNPI 1346102472
Title
Owner
Phone
(843) 422-8879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

10616 S Jacob Smart Blvd Ste 103
Ridgeland, SC 29936-8478

Mailing address

10616 S Jacob Smart Blvd Ste 103
Ridgeland, SC 29936-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260415000425 SC Part B Supplier - Clinic/Group Practice 7810463197 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgeland, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1285588780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10616 S JACOB SMART BLVD STE 103",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 S JACOB SMART BLVD STE 103",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368478",
            "telephone_number": "843-310-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "PITRE",
        "authorized_official_first_name": "KATI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-422-8879",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.