JERALYN RENEE THARP LPCC-S LICDC NPI 1073848750

NPI Information

NPI: 1073848750
Provider Name: JERALYN RENEE THARP, LPCC-S LICDC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
609 WOODSIDE DR
ENGLEWOOD, OH
ZIP 45322
Phone: (937) 540-9495
Get Directions

Jeralyn Renee Tharp, LPCC-S LICDC is a professional counselor in Englewood, OH. Jeralyn Renee Tharp, LPCC-S LICDC NPI is 1073848750. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

609 WOODSIDE DR
ENGLEWOOD, OH
ZIP 45322-848
Phone: (937) 540-9495
Fax: (937) 962-6210

The enumeration date for this NPI number is 10/13/2009 and was last updated on 9/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	E.1800797	OHIO	No
2	101YP2500X	Counselor	Professional	E.1800797	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G0332295	MEDICAID	OHIO
2	G0332295	OTHER	OHIO	MEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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