Active NPI
Janis J. Jaworski, PHD
- Counseling Psychologist
- Morganton, NC
National Provider Identifier
1417030602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2385
- Practice address
- 401 S Green St
Suite B
Morganton, NC 28655-3528 - Phone
- (828) 433-7400
- Fax
- (828) 439-8083
- NPI assigned
- Oct 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2385 | NC | Primary |
Addresses
Primary practice location
401 S Green St
Suite B
Morganton, NC 28655-3528
Mailing address
401 S Green St
Suite B
Morganton, NC 28655-3528
Phone (828) 433-7400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054092000 | Other | NC | MAGELLAN BEHAVIORAL HEALT |
| 110938 | Other | NC | VALUE OPTIONS |
| 4093184 | Other | NC | AETNA |
| 6000422 | Medicaid | NC | |
| 03198 | Other | NC | BLUE CROSS BLUE SHIELD |
| 45599 | Other | NC | CIGNA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292457600000",
"number": "1417030602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S GREEN ST",
"address_2": "SUITE B",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286553528",
"telephone_number": "828-433-7400",
"fax_number": "828-439-8083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S GREEN ST",
"address_2": "SUITE B",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286553528",
"telephone_number": "828-433-7400",
"fax_number": "828-439-8083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAWORSKI",
"first_name": "JANIS",
"middle_name": "J.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2010-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "2385",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "054092000",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "110938",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4093184",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000422",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "03198",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "45599",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.