Individual provider Active NPI

Jessica Rae Otolinsky, LCMHC

  • Professional Counselor
  • Asheville, NC
National Provider Identifier
1437613304
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14570 Issued in NC
Practice address
247 Charlotte St Ste 203
Asheville, NC 28801-1468
Phone
(828) 407-0784
Fax
(828) 544-1201
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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 14570 NC Primary

Addresses

Primary practice location

247 Charlotte St Ste 203
Asheville, NC 28801-1468

Mailing address

1 Hinson Dr
Candler, NC 28715-8568
Phone (828) 407-0784

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

State licenses

LicenseStateTypeSpecialty
14570NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1437613304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HINSON DR",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287158568",
            "telephone_number": "828-407-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 CHARLOTTE ST STE 203",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011468",
            "telephone_number": "828-407-0784",
            "fax_number": "828-544-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTOLINSKY",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "14570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.