Jessica Crysten Effrig, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

141 E Fairmount Ave
State College, PA 16801-5315

Phone

(814) 234-3464

NPI assigned

Mar 16, 2015

Last updated

Mar 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Jessica C Effrig Psychotherapy LLC

  • Community/Behavioral Health Agency
  • State College, PA
  • NPI 1740703636
  Medicare reassignment NPD Authorized official
• Claire Van Ogtrop Psychotherapy, LLC

  • Clinical Social Worker
  • State College, PA
  • NPI 1760271068
  NPD

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1588057509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E FAIRMOUNT AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015315",
            "telephone_number": "814-234-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E FAIRMOUNT AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015315",
            "telephone_number": "814-234-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFRIG",
        "first_name": "JESSICA",
        "middle_name": "CRYSTEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in State College, PA
• Providers in State College, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.