Active NPI
Jessie Vrooman
- Addiction (Substance Use Disorder) Counselor
- Hickory, NC
National Provider Identifier
1770134678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS-25443
- Practice address
- 929 15TH St NE Ste 100
Hickory, NC 28601-4162 - Phone
- (828) 327-6026
- Fax
- (828) 327-8796
- NPI assigned
- Sep 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-25443 | NC | Primary |
Addresses
Primary practice location
929 15TH St NE Ste 100
Hickory, NC 28601-4162
Mailing address
4330 Viola Sipe Dr
Conover, NC 28613-8839
Phone (828) 256-3436
Other practice location 1
301 E Meeting St Ste 102
Morganton, NC 28655-3598
Phone (828) 391-5026
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-25443 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1770134678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 VIOLA SIPE DR",
"city": "CONOVER",
"state": "NC",
"postal_code": "286138839",
"telephone_number": "828-256-3436",
"fax_number": "828-256-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 15TH ST NE STE 100",
"city": "HICKORY",
"state": "NC",
"postal_code": "286014162",
"telephone_number": "828-327-6026",
"fax_number": "828-327-8796"
}
],
"practiceLocations": [
{
"address_1": "301 E Meeting St Ste 102",
"address_purpose": "LOCATION",
"city": "Morganton",
"state": "NC",
"postal_code": "286553598",
"country_code": "US",
"telephone_number": "828-391-5026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VROOMAN",
"first_name": "JESSIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-25443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
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- Joseph V Vogel, M.D.
- Sarah D Vulpitta
- Constance Boulware Wachsmuth, LCSW
- James A Wachsmuth, LCMHC
- Wake Forest Health Network LLC (Atrium Health Wake Forest Baptist Family Medicine - Springs Road)
- Wake Forest University Health Sciences
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.