Active NPI
Jamie Gervickas
- Mental Health Counselor
- Martinsburg, WV
National Provider Identifier
1952913386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1103
- Practice address
- 400 Foxcroft Ave Ste 104
Martinsburg, WV 25401-5302 - Phone
- (304) 513-3495
- Fax
- (800) 734-8498
- NPI assigned
- Aug 18, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1103 | WV | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
400 Foxcroft Ave Ste 104
Martinsburg, WV 25401-5302
Mailing address
1005 White Willow Way
Morgantown, WV 26505-6119
Phone (304) 513-3495
Other practice location 1
65 Thomas Johnson Dr Ste A
Frederick, MD 21702-4371
Phone (301) 662-3808
Other names 1
- Jamie Becker
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 |
|---|---|---|---|
| 1103 | WV | MD | Occupational Therapist |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morgantown, WV
- NPI 1992665723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1952913386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 WHITE WILLOW WAY",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265056119",
"telephone_number": "304-513-3495",
"fax_number": "800-734-8498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FOXCROFT AVE STE 104",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254015302",
"telephone_number": "304-513-3495",
"fax_number": "800-734-8498"
}
],
"practiceLocations": [
{
"address_1": "65 Thomas Johnson Dr Ste A",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024371",
"country_code": "US",
"telephone_number": "301-662-3808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERVICKAS",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-18",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "1103",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "BECKER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.