Individual provider Active NPI

Jessica Durst

  • Professional Counselor
  • Bellefonte, PA
National Provider Identifier
1942915806
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
119 Amberleigh LN Ste 119
Bellefonte, PA 16823-8488
Phone
(814) 380-9392
NPI assigned
Jan 16, 2023
Last updated
Jan 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

119 Amberleigh LN Ste 119
Bellefonte, PA 16823-8488

Mailing address

119 Amberleigh LN Ste 119
Bellefonte, PA 16823-8488
Phone (814) 380-9392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203000151 PA Practitioner - Mental Health Counselor 3375078181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integral Psychology LLCGroup PAC ID 1951730498, 3 clinicians

Practice addresses (Care Compare)

119 Amberleigh LN
Suite 19
Bellefonte, PA 16823-8488
Phone (814) 380-9392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Psychology LLC CurrentSince Nov 20, 2024 Accepting new patients

Locations

119 Amberleigh Ln
Ste 119
Bellefonte, PA 16823
Phone (814) 380-9392

119 Amberleigh Ln
Ste 19
Bellefonte, PA 16823
Phone (814) 380-9392

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1942915806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 AMBERLEIGH LN STE 119",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168238488",
            "telephone_number": "814-380-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 AMBERLEIGH LN STE 119",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168238488",
            "telephone_number": "814-380-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURST",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefonte, PA

Sources for this page

Verify at the official NPI Registry.