Individual provider Active NPI

Jerri Lou Asmussen, LPC

  • Professional Counselor
  • Corpus Christi, TX
National Provider Identifier
1316484330
Registry record updated Jan 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74060 Issued in TX
Practice address
6202 Coppedge Dr
Corpus Christi, TX 78414-3018
Phone
(361) 985-8800
Fax
(361) 993-0558
NPI assigned
Jan 28, 2017
Last updated
Jan 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 74060 TX Primary

Addresses

Primary practice location

6202 Coppedge Dr
Corpus Christi, TX 78414-3018

Mailing address

6202 Coppedge Dr
Corpus Christi, TX 78414-3018
Phone (361) 985-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260504006383 TX Practitioner - Mental Health Counselor 9436627973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5959 S Staples St
Suite 200
Corpus Christi, TX 78413-3844

PO Box
Suite 61226
Corpus Christi, TX 78466-1226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74060TXMDProfessional Counselor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485561600000",
    "number": "1316484330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 COPPEDGE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143018",
            "telephone_number": "361-985-8800",
            "fax_number": "361-993-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 COPPEDGE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143018",
            "telephone_number": "361-985-8800",
            "fax_number": "361-993-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASMUSSEN",
        "first_name": "JERRI",
        "middle_name": "LOU",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-28",
        "last_updated": "2017-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.