Jaime Bierwagen, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7383 Issued in NC

Practice address

117 Emily LN
Youngsville, NC 27596-9681

Phone

(919) 840-6585

NPI assigned

Jul 3, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Perkins Counseling and Psychological Services, PLLC

  • Mental Health Counselor
  • Wake Forest, NC
  • NPI 1750641213
  Medicare reassignment

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1730318379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 EMILY LN",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275969681",
            "telephone_number": "919-840-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 EMILY LN",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275969681",
            "telephone_number": "919-840-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERWAGEN",
        "first_name": "JAIME",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-03",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "7383",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7383",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104246",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Nicole Baines
• Jill Balok, RN
• Jaclyn Baltera
• Hannah Barringer, RN, BSN
• Nefertari Vandervall Bartley, LCMHCA, NCC
• Bryn Blackmon
• Justin Wayne Bordeaux, PA
• Kimberly A Brancaccio, M.S. CCC-SLP
• Brandy R. Buckner, DDS, PC
• Wiley Brantley, PHARMD

• Professional Counselor in Youngsville, NC
• Providers in Youngsville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.