Jennifer Courtney Bancroft, MA, NCC, LPCA
Individual provider Active NPI Professional Counselor · Brevard, NC
NPI 1740689306 · NPPES record last updated Oct 14, 2015
Key facts
- NPI
- 1740689306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- A10545 (NC)
- Practice address
- 159 King St Ste B
Brevard, NC 28712-4089 - Phone
- (828) 670-8056
- Fax
- (828) 670-8057
- NPI assigned
- Aug 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A10545 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Rehabilitation Specialists, Inc. | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A10545 | NC | Yes |
Addresses
Primary practice location
159 King St Ste B
Brevard, NC 28712-4089
Mailing address
159 King St Ste B
Brevard, NC 28712-4089
Phone (828) 670-8056
Other providers in Brevard, NC
- Sue Ericson Austin
- Madeline Lee Averett
- Frederic Fries Bahnson III
- Aimee Miller Bailey
- Dempsey John Bailey
- Margaret Barnett
- Joyanne Baron
- Brian Patrick Barrow
- Bart Van Oostendorp DDS PA
- Daniel G. Baseman
All providers in Brevard, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.