Individual provider Active NPI

Edward Joseph Jasper, MSSW

  • Addiction (Substance Use Disorder) Counselor
  • Crestview Hills, KY
National Provider Identifier
1770504706
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0773 Issued in KY
Practice address
2734 Chancellor Dr
Suite 211
Crestview Hills, KY 41017-3487
Phone
(859) 292-8888
Fax
(859) 292-8888
NPI assigned
Jul 23, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0773 KY Primary
Clinical Social Worker 1041C0700X 1273 KY

Addresses

Primary practice location

2734 Chancellor Dr
Suite 211
Crestview Hills, KY 41017-3487

Mailing address

2734 Chancellor Dr
Suite 211
Crestview Hills, KY 41017-3487
Phone (859) 292-8888

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
0773KYMDAddiction (Substance Use Disorder) Counselor
1273KYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1770504706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 CHANCELLOR DR",
            "address_2": "SUITE 211",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173487",
            "telephone_number": "859-292-8888",
            "fax_number": "859-292-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 CHANCELLOR DR",
            "address_2": "SUITE 211",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173487",
            "telephone_number": "859-292-8888",
            "fax_number": "859-292-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPER",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "0773",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.