Individual provider Active NPI

Jaspera Victoria Butler, LPCA

  • Professional Counselor
  • Garner, NC
National Provider Identifier
1649664863
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A10168 Issued in NC
Practice address
130 Commerce Pkwy
Suite 111
Garner, NC 27529-7966
Phone
(919) 772-1990
Fax
(919) 772-1978
NPI assigned
Mar 25, 2015
Last updated
Mar 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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 A10168 NC Primary

Addresses

Primary practice location

130 Commerce Pkwy
Suite 111
Garner, NC 27529-7966

Mailing address

101 E Market St Ste 2F
Smithfield, NC 27577-3980
Phone (919) 934-1062

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
A10168NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Counseling and Wellness, PLLC Professional CurrentSince Nov 22, 2020 Accepting new patients

Locations

215 Fish Dr
Angier, NC 27501
Phone (910) 240-4599

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1649664863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MARKET ST STE 2F",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773980",
            "telephone_number": "919-934-1062",
            "fax_number": "919-934-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 COMMERCE PKWY",
            "address_2": "SUITE 111",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297966",
            "telephone_number": "919-772-1990",
            "fax_number": "919-772-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JASPERA",
        "middle_name": "VICTORIA",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A10168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.