Jessica Gwen Sloan, MA, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4218 Issued in NC

Practice address

962 S Fayetteville St
Asheboro, NC 27203-6410

Phone

(336) 626-1500

NPI assigned

Aug 22, 2007

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1669665725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 TWIN OAKS DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433283",
            "telephone_number": "910-270-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 S FAYETTEVILLE ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036410",
            "telephone_number": "336-626-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "JESSICA",
        "middle_name": "GWEN",
        "name_prefix": "Mrs.",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sistasis Family Practice,Inc.
• Jim Sistasis, M.D.
• Rowena Maria Sistasis, M.D.
• Jodi Skeen, MA CCC-SLP
• Sharon Skrabacz, ARNP
• Brandon Tyler Smith, AGNP
• Ebony I Smith, MA, LPC
• Shereen E Smith, CSAC
• Timothy Chester Smith, FNP
• Timothy James Somers, PA-C

• Mental Health Counselor in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.