Jasmine Marie Van Antwerp, MS, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4679 Issued in MT

Practice address

313 W Mendenhall St
Suite 10
Bozeman, MT 59715-3479

Phone

(406) 580-2243

NPI assigned

Sep 16, 2013

Last updated

Sep 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1912333436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W MENDENHALL ST",
            "address_2": "SUITE 10",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153479",
            "telephone_number": "406-580-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W MENDENHALL ST",
            "address_2": "SUITE 10",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153479",
            "telephone_number": "406-580-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ANTWERP",
        "first_name": "JASMINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "4679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.