Active NPI
Jessica Hauser, ATR-BC, LPC
- Professional Counselor
- Kunkletown, PA
National Provider Identifier
1881449395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC013777
- Practice address
- 236 Smith Gap Terrace
Kunkletown, PA 18058 - Phone
- (267) 601-4326
- NPI assigned
- Apr 18, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15580 | PA | |
| Art Therapist | 221700000X | 19-573 | PA | |
| Professional Counselor | 101YP2500X | PC013777 | PA | Primary |
Addresses
Primary practice location
236 Smith Gap Terrace
Kunkletown, PA 18058
Mailing address
PO Box 412
Kunkletown, PA 18058-0412
Phone (267) 601-4326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 3, 2025 through Mar 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15580 | PA | MD | Addiction (Substance Use Disorder) Counselor |
| PC013777 | PA | MD | Professional Counselor |
| 19-573 | PA | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1881449395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412",
"city": "KUNKLETOWN",
"state": "PA",
"postal_code": "180580412",
"telephone_number": "267-601-4326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 SMITH GAP TERRACE",
"city": "KUNKLETOWN",
"state": "PA",
"postal_code": "18058",
"telephone_number": "267-601-4326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSER",
"first_name": "JESSICA",
"credential": "ATR-BC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-18",
"last_updated": "2024-04-18",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "15580",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "PA",
"license": "19-573",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC013777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kunkletown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.