Individual provider Active NPI

Jessica Elizabeth Ferrence, LCMHC, NCC

  • Professional Counselor
  • Fayetteville, NC
National Provider Identifier
1649596404
Registry record updated Feb 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8582 Issued in NC
Practice address
7920 Lester Dr
Fayetteville, NC 28311-7420
Phone
(910) 489-7983
NPI assigned
Apr 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2023

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 8582 NC Primary

Addresses

Primary practice location

7920 Lester Dr
Fayetteville, NC 28311-7420

Mailing address

6762 Candlewood Dr
Fayetteville, NC 28314-1696
Phone (910) 489-7983

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
8582NCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676073600000",
    "number": "1649596404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6762 CANDLEWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141696",
            "telephone_number": "910-489-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 LESTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117420",
            "telephone_number": "910-489-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRENCE",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; 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.