Individual provider Active NPI

Jessica Scales, LPCA

  • Mental Health Counselor
  • Eden, NC
National Provider Identifier
1306268669
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10501 Issued in NC
Practice address
509 S Van Buren Rd Ste B
Eden, NC 27288-5083
Phone
(336) 627-5437
Fax
(336) 627-1681
NPI assigned
Jan 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10501 NC
Mental Health Counselor 101YM0800X 10501 NC Primary

Addresses

Primary practice location

509 S Van Buren Rd Ste B
Eden, NC 27288-5083

Mailing address

509 S Van Buren Rd Ste B
Eden, NC 27288-5083
Phone (336) 627-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228001334 NC Practitioner - Mental Health Counselor 2860842101 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10501NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Sparrow'S Tomorrow Counseling Services, PLLC Mental Health Current Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jan 1, 2024 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

1103 N Elm St
Ste 300
Greensboro, NC 27401
Phone (336) 271-3331

301 E Wendover Ave
Ste 311
Greensboro, NC 27401
Phone (336) 272-6161

Organizations & group practices 4

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": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1306268669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S VAN BUREN RD STE B",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885083",
            "telephone_number": "336-627-5437",
            "fax_number": "336-627-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S VAN BUREN RD STE B",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885083",
            "telephone_number": "336-627-5437",
            "fax_number": "336-627-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALES",
        "first_name": "JESSICA",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10501",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

Verify at the official NPI Registry.