Active NPI
Jessica Mitchell Hart, MA LIC
- Psychologist
- Harrisburg, PA
National Provider Identifier
1467466334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS006260L
- Practice address
- 3235 N 3Rd St
Harrisburg, PA 17110-1308 - Phone
- (717) 234-3839
- Fax
- (717) 234-6247
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS006260L | PA | Primary |
Addresses
Primary practice location
3235 N 3Rd St
Harrisburg, PA 17110-1308
Mailing address
42 Summer LN
Mechanicsburg, PA 17050-4147
Phone (717) 486-3929
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02105001 | Other | PA | CAPITAL BLUE CROSS |
| 000764545 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2014 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS006260L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Psychological & Therapeutic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Harrisburg, PA
- NPI 1750398715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1467466334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 SUMMER LN",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170504147",
"telephone_number": "717-486-3929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 N 3RD ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171101308",
"telephone_number": "717-234-3839",
"fax_number": "717-234-6247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "JESSICA",
"middle_name": "MITCHELL",
"name_prefix": "Mrs.",
"credential": "MA LIC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS006260L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02105001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "000764545",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.