Jamie L Hogan, MA, LPC, NCC, C-DBT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC006203 Issued in PA

Practice address

60A Werner St
Wernersville, PA 19565-1623

Phone

(610) 750-9447

Fax

(610) 750-9383

NPI assigned

Feb 20, 2012

Last updated

Feb 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 18, 2024 through Sep 18, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26128/brand/1/csg/1/fhir/r4

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.

• Elemental Wellness LLC

  • Mental Health Counselor
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  • NPI 1013665231
  NPD Authorized official
• Furnace Creek Counseling LLC

  • Professional Counselor
  • Robesonia, PA
  • NPI 1952804023
  NPD (past)

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1548533615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 119",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195650119",
            "telephone_number": "610-750-9447",
            "fax_number": "610-750-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60A WERNER ST",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195651623",
            "telephone_number": "610-750-9447",
            "fax_number": "610-750-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "MA, LPC, NCC, C-DBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith F. Grem, M.D.
• Mindy Cardina Grenade
• Elizabeth Marjorie Hansen, DC
• Kimberly Harker, LPC
• Teresa Heck, D.C.
• Hope4All Services LLC
• Dawn E Hornberger, O.D.
• Tara Lynn Huggard, M.S. CCC-SLP
• Kirah Iovanna, PMHNP-BC
• Polly Kahl, M.A., L.P.C.

• Professional Counselor in Wernersville, PA
• Providers in Wernersville, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.