Individual provider Active NPI

Erica Jasper, MS, LAPC, NCC

  • Professional Counselor
  • Lithia Springs, GA
National Provider Identifier
1972133726
Registry record updated Jan 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC00681 Issued in GA
Practice address
561 Thornton Rd
Lithia Springs, GA 30122-1558
Phone
(770) 899-4648
NPI assigned
Jan 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2020

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 APC00681 GA Primary

Addresses

Primary practice location

561 Thornton Rd
Lithia Springs, GA 30122-1558

Mailing address

7302 Timber Shoals Way
Douglasville, GA 30134-6483
Phone (770) 899-4648

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL erica.jasper@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
APC00681GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1972133726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7302 TIMBER SHOALS WAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346483",
            "telephone_number": "770-899-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 THORNTON RD",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301221558",
            "telephone_number": "770-899-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPER",
        "first_name": "ERICA",
        "credential": "MS, LAPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC00681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "erica.jasper@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "561 Thornton Rd",
            "city": "Lithia Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301221558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

Verify at the official NPI Registry.